Most Relevant Information
Provider Data
| NPI Number: | 1003014432 |
| Provider Name: | RENEE ANN DIFUNTORUM |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1260 FULTON AVE STE B
SACRAMENTO
CA
958257396
Practice Location Phone/Fax
| Phone: | 9162838280 |
| Fax: | 9162838259 |
Provider Mailing Location
1260 FULTON AVE STE B
SACRAMENTO
CA
958257396
Provider Mailing Phone/Fax
| Phone: | 9162838280 |
| Fax: | 9162838259 |