Individual
BLANCA LILIA RODRIGUEZ TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 279-4460
Mailing address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 279-4460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-XSVCLR
CA
Other
Enumeration date
07/20/2023
Last updated
01/14/2025
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