Most Relevant Information
Provider Data
| NPI Number: | 1003301185 |
| Provider Name: | RENATA M BOTELLO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/29/2018 |
| Last Updated: | 06/29/2018 |
Provider Practice Location
2230 STOCKTON BLVD
SACRAMENTO
CA
958171353
Practice Location Phone/Fax
| Phone: | 9167347251 |
| Fax: |
Provider Mailing Location
2230 STOCKTON BLVD
SACRAMENTO
CA
958171353
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |