SAMUEL ISAAC TICK-RAKER

SAN LEANDRO, CA
NPI1760156251
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
Enumeration Date2021-08-06
Last Update Date2023-06-27
Business Address
SAMUEL ISAAC TICK-RAKER
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Mailing Address
SAMUEL ISAAC TICK-RAKER
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444