Individual
KAREN TAKAYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 DEREK PL STE 100, ROSEVILLE, CA 95678-7053
(916) 202-3262
Mailing address
11 MOLLY CT, ROSEVILLE, CA 95678-6027
(916) 202-3262
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
26505
CA
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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