Zachary Larson
Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).
NPI number1124649652
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1124649652
- Entity type
- Individual (NPI-1)
- Name
- Zachary Larson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2020
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
8912 Volunteer LnSacramento, CA 95826-3221
Phone 916-344-0199
Mailing address
9129 Greco CtSacramento, CA 95829-9493
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