Lorenzo Camilo Balderrama
Lorenzo Camilo Balderrama is an Adult Mental Health Clinic/Center in Sacramento, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1050 Fulton Ave Ste 235Sacramento, CA 95825-4299
Phone: (916) 614-9539
Fax: (916) 614-9542
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Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1942875695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2021 |
| Last updated in NPPES | May 25, 2021 |
| Certification date | May 25, 2021 |
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