Healthcare Provider Details

I. General information

NPI: 1174885206
Provider Name (Legal Business Name): ESPARTO UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26675 PLAINFIELD ST
ESPARTO CA
95627-2192
US

IV. Provider business mailing address

26675 PLAINFIELD ST
ESPARTO CA
95627-2192
US

V. Phone/Fax

Practice location:
  • Phone: 530-787-3446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBBIE HOWARD
Title or Position: CBO
Credential:
Phone: 530-787-3446