Healthcare Provider Details

I. General information

NPI: 1245635325
Provider Name (Legal Business Name): UNIQUE LITTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2014
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9343 TECH CENTER DR STE 200
SACRAMENTO CA
95826-2592
US

IV. Provider business mailing address

9343 TECH CENTER DR STE 200
SACRAMENTO CA
95826-2592
US

V. Phone/Fax

Practice location:
  • Phone: 916-388-6400
  • Fax:
Mailing address:
  • Phone: 916-388-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: