SAWYERE ETHAN LAMONTAGNE

SACRAMENTO, CA
NPI1952187502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-09-07
Last Update Date2023-09-07
Business Address
SAWYERE ETHAN LAMONTAGNE
3737 MARCONI AVE
SACRAMENTO, CA 95821-5303
Phone number: 916-480-1801
Mailing Address
SAWYERE ETHAN LAMONTAGNE
3737 MARCONI AVE
SACRAMENTO, CA 95821-5303
Phone number: 916-480-1801