Latara Trenee Cunningham, 171M00000X
Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).
NPI number1962048322
StatusActive
Last updated in NPPESNov 20, 2019
Details
- NPI
- 1962048322
- Entity type
- Individual (NPI-1)
- Name
- Latara Trenee Cunningham
- Credential
- 171M00000X
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2019
- Last updated
- Nov 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2750 Sutterville RdSacramento, CA 95820-1024
Phone 916-254-0167
Mailing address
2750 Sutterville RdSacramento, CA 95820-1024
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