Individual
SUMARIA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5650 MARCONI AVE, CARMICHAEL, CA 95608-4462
(916) 410-8618
Mailing address
5960 S LAND PARK DR # 415, SACRAMENTO, CA 95822-3313
(916) 410-8618
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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