Individual provider · NPI-1

Judy Danielle Bacus

Case Manager/Care Coordinator · Roseville, CA

NPI number1275964041
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1275964041
Entity type
Individual (NPI-1)
Name
Judy Danielle Bacus
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2013
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–CAYes

Other names

  • Judy Danielle Bacus (Other Name)

Practice location

1624 Santa Clara Dr Ste 145
Roseville, CA 95661-3500

Phone 916-779-2455

Mailing address

1624 Santa Clara Dr Ste 145
Roseville, CA 95661-3500

Phone 916-779-2455 · Fax 916-588-2880

Other practice locations

202 Providence Mine Rd
Ste 105
Nevada City, CA 95959-2947

Phone 530-265-7844

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