Most Relevant Information
Provider Data
| NPI Number: | 1003219270 |
| Provider Name: | SONJA LUCKEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/02/2014 |
| Last Updated: | 10/02/2014 |
Provider Practice Location
2060 CAMPUS DR
YREKA
CA
960979538
Practice Location Phone/Fax
| Phone: | 5308414100 |
| Fax: |
Provider Mailing Location
2060 CAMPUS DR
YREKA
CA
960979538
Provider Mailing Phone/Fax
| Phone: | 5308414100 |
| Fax: |