NPI 1851796130
Jackie Lou Tabbada
Practice location
- Address
- 4801 34th St, Sacramento, CA 95820-4849
- Phone
- (916) 364-8395
- Mailing address
- 9825 Selva Way, Elk Grove, CA 95757-8210
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1851796130
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Oct 2014
- Record last updated
- 29 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.