LARVIN BLAKE MCCLAIN

SACRAMENTO, CA
NPI1578105698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-09
Last Update Date2019-10-09
Business Address
LARVIN BLAKE MCCLAIN
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 916-520-7399
Mailing Address
LARVIN BLAKE MCCLAIN
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 916-520-7399
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