Individual
LETILA TUIQILAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9057 LA RIVIERA DR, SACRAMENTO, CA 95826-2148
(916) 500-1054
Mailing address
9057 LA RIVIERA DR, SACRAMENTO, CA 95826-2148
(916) 500-1054
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
GNB32024-00969
CA
253Z00000X
In Home Supportive Care Agency
GNB32024-00969
CA
372600000X
Adult Companion
GNB32024-00969
CA
Other
Enumeration date
05/08/2024
Last updated
05/15/2024
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