JACKIE LOU TABBADA

Community Based Residential Treatment Facility, Mental Illness

Active Individual
NPI: 1851796130

Practice Address

4801 34TH ST
Sacramento, CA 95820

Phone: (916) 364-8395

Specialties

Specialty Code Primary License
Community Based Residential Treatment Facility, Mental Illness 320800000X Yes 347000518 (CA)

Frequently Asked Questions

NPI 1851796130 is the National Provider Identifier for JACKIE LOU TABBADA, a Community Based Residential Treatment Facility, Mental Illness provider located in Sacramento, CA. This NPI was enumerated on October 29, 2014.
JACKIE LOU TABBADA practices at 4801 34TH ST, Sacramento, CA 95820.

Quick Facts

NPI
1851796130
Type
Individual
Enumerated
Oct 29, 2014
Last Updated
Oct 29, 2014

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