Individual
KAITLYN NASSETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 STOCKTON BLVD BLDG 200, SACRAMENTO, CA 95817-1337
(916) 875-0811
Mailing address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-RIOXPY
CA
Other
Enumeration date
07/21/2023
Last updated
05/30/2024
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