GETHSEMANE VAE TAGALOA

SACRAMENTO, CA
NPI1760653794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2008-03-18
Last Update Date2024-06-05
Business Address
Mr. GETHSEMANE VAE TAGALOA
650 HOWE AVE BLDG 400-B
SACRAMENTO, CA 95825-4731
Phone number: 916-715-3329
Mailing Address
Mr. GETHSEMANE VAE TAGALOA
650 HOWE AVE BLDG 400-B
SACRAMENTO, CA 95825-4731
Phone number: 916-715-3329
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