Individual
LUNA PAIGE BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 BERCUT DR STE C, SACRAMENTO, CA 95811-0110
(916) 368-1638
Mailing address
3780 ROSIN CT STE 110, SACRAMENTO, CA 95834-1698
(916) 441-0286
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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