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Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA MARIUT ADMINISTRATOR (ADMINISTRATOR)
(916) 532-1252
Entity
Organization

Contact information

Practice address
6029 DAHBOY WAY, ORANGEVALE, CA 95662-4449
(916) 532-1252
(916) 307-5197
Mailing address
6029 DAHBOY WAY, ORANGEVALE, CA 95662-4449
(916) 532-1252
(916) 307-5197

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
11/07/2025
Last updated
11/07/2025
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