Most Relevant Information
Provider Data
| NPI Number: | 1003431370 |
| Provider Name: | MIRACLE ELAINE LUEBBERS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2020 |
| Last Updated: | 06/12/2020 |
Provider Practice Location
8912 VOLUNTEER LN
SACRAMENTO
CA
958263221
Practice Location Phone/Fax
| Phone: | 9163440199 |
| Fax: |
Provider Mailing Location
8912 VOLUNTEER LN
SACRAMENTO
CA
958263221
Provider Mailing Phone/Fax
| Phone: | 9163440199 |
| Fax: |