Most Relevant Information
Provider Data
| NPI Number: | 1003501008 |
| Provider Name: | TKEYAH BRAGGS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2023 |
| Last Updated: | 04/21/2023 |
Provider Practice Location
630 BERCUT DR STE C
SACRAMENTO
CA
958110110
Practice Location Phone/Fax
| Phone: | 9168866016 |
| Fax: |
Provider Mailing Location
515 CAMANCHE LN APT 52
STOCKTON
CA
952075953
Provider Mailing Phone/Fax
| Phone: | 2096965415 |
| Fax: |