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DECEMEI L CALVIN DIXON
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1003311986
Individual Registrant: DECEMEI L CALVIN DIXON
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
505 M ST RIO LINDA, CA 95673-2218 US
Tel: 916-287-4067 Fax: --
Tel: 916-287-4067 Fax: --
Contact information for business:
9037 CASALS ST APT 4 SACRAMENTO, CA 95826-3209 US
Tel: 479-841-5840 Fax: --
Tel: 479-841-5840 Fax: --
Registration Information:
NPI: 1003311986
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
