Miranda Drew Laney
Community Health Worker in Sacramento, CA. Individual provider (NPI-1).
NPI number1558106963
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1558106963
- Entity type
- Individual (NPI-1)
- Name
- Miranda Drew Laney
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2024
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1400 X StSacramento, CA 95818-2200
Phone 916-441-0123
Mailing address
1400 X StSacramento, CA 95818-2200
Phone 916-441-0123
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