Most Relevant Information
Provider Data
| NPI Number: | 1003311986 |
| Provider Name: | DECEMEI L CALVIN DIXON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2018 |
| Last Updated: | 03/24/2018 |
Provider Practice Location
505 M ST
RIO LINDA
CA
956732218
Practice Location Phone/Fax
| Phone: | 9162874067 |
| Fax: |
Provider Mailing Location
9037 CASALS ST APT 4
SACRAMENTO
CA
958263209
Provider Mailing Phone/Fax
| Phone: | 4798415840 |
| Fax: |