Individual
JERICHO G GOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6600 BRUCEVILLE ROAD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
667 DAHLIA DRIVE, VACAVILLE, CA 95687-8271
(707) 344-4543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
27040
CA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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