Individual
MISS GENET TADDESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/BSN
Contact information
Practice address
8223 TWIN OAKS AVE, CITRUS HEIGHTS, CA 95610-0611
(916) 539-1767
(916) 723-0138
Mailing address
8223 TWIN OAKS AVE, CITRUS HEIGHTS, CA 95610-0611
(916) 539-1767
(916) 723-0138
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
342700470
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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