Jonathan Tejeda
Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).
NPI number1689320293
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1689320293
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Tejeda
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2022
- Certification date
- Feb 25, 2022
- Last updated
- Feb 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
3727 Marconi Ave # Sac95821Sacramento, CA 95821-5303
Phone 916-410-5820
Mailing address
3727 Marconi Ave # Sac95821Sacramento, CA 95821-5303
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