Individual
DAVID STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
4200 E COMMERCE WAY, UNIT 2212, SACRAMENTO, CA 95834-9634
(916) 209-6532
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
08/13/2024
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