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Individual

JATONN PARHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CA
175T00000X
Peer Specialist
CA
251G00000X
Community Based Hospice Care Agency
CA
251S00000X
Community/Behavioral Health Agency
CA
251T00000X
PACE Provider Organization
CA
253Z00000X
In Home Supportive Care Agency
CA
310400000X
Assisted Living Facility
Primary
CA
311ZA0620X
Adult Care Home Facility
CA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
CA
320700000X
Physical Disabilities Residential Treatment Facility
CA

Other

Enumeration date
08/10/2026
Last updated
08/10/2026
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