Jackie Lou Tabbada

NPI #1851796130 in Sacramento, California

Provider Information

NPI Number: 1851796130
Entity Type: Individual
Name: Jackie Lou Tabbada
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Oct 29, 2014
Last Updated: Oct 29, 2014

Practice Location

Address: 4801 34TH ST
City: Sacramento
State: California
ZIP Code: 95820-4849
Phone: (916) 364-8395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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