Individual
AHANU CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 MASON ST STE 300, UKIAH, CA 95482-4483
(707) 463-3300
Mailing address
169 MASON ST STE 300, UKIAH, CA 95482-4483
(707) 463-3300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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