Individual
LETTY CRYSTAL CHAIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 EUREKA RD STE 102, ROSEVILLE, CA 95661-2849
(916) 532-0228
Mailing address
1520 EUREKA RD STE 102, ROSEVILLE, CA 95661-2849
(916) 532-0228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
CA
Enumeration date
03/02/2021
Last updated
07/10/2025
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