Individual
ETHELJEAN VIELGO TUGADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Mailing address
3800 WATT AVE STE 110, SACRAMENTO, CA 95821-2622
(916) 344-0249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
04/22/2021
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