JACKIE LOU TABBADA

SACRAMENTO, CA
NPI1851796130
Other NameRONALYN TAACA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: CA  347000518)
Enumeration Date2014-10-29
Last Update Date2014-10-29
Business Address
-- JACKIE LOU TABBADA
4801 34TH ST
SACRAMENTO, CA 95820-4849
Phone number: 916-364-8395
Mailing Address
-- JACKIE LOU TABBADA
9825 SELVA WAY
ELK GROVE, CA 95757-8210
Phone number: 916-601-9336