Individual
INOKA SHAMA GUNASEKARA WEEDAGAMA APPUHAMILAGE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 207-8806
Mailing address
8647 CARLIN AVE, SACRAMENTO, CA 95823-7655
(916) 207-8806
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/29/2023
Last updated
05/23/2025
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