PORSCHE JALIS MCCULLOUGH

SACRAMENTO, CA
NPI1083414783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies172V00000X Community Health Worker
175T00000X Peer Specialist
(Licence: CA  MPSS-RXCSEQ)
Enumeration Date2025-03-13
Last Update Date2026-05-15
Business Address
PORSCHE JALIS MCCULLOUGH
401 S ST
SACRAMENTO, CA 95811-6919
Phone number: 916-584-7800
Mailing Address
PORSCHE JALIS MCCULLOUGH
401 S ST
SACRAMENTO, CA 95811-6919
Phone number: 916-584-7800