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NPI Code Detail

MEDICARE: FARM SAEVANG

MEDICARE: FARM SAEVANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1457748402
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARM SAEVANG
Provider Business Mailing Address
First Line : 2513 YOUNGSTOWN RD
Second Line :
City : TURLOCK
State : CA
Zip : 95380-9707
Country : US
Telephone Number : 209-226-3173
Fax Number :
Provider Business Practice Location Address
First Line : 2513 YOUNGSTOWN RD
Second Line :
City : TURLOCK
State : CA
Zip : 95380-9707
Country : US
Telephone Number : 209-226-3173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2015
Last Update Date : 06/13/2023

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Directions to “ FARM SAEVANG ” Practice Location

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