Provider Demographics
NPI:1063538437
Name:DAHILIG, VANESSA RENEE
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:RENEE
Last Name:DAHILIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 NORTHGLEN ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-2130
Mailing Address - Country:US
Mailing Address - Phone:916-646-0480
Mailing Address - Fax:
Practice Address - Street 1:2712 NORTHGLEN ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-2130
Practice Address - Country:US
Practice Address - Phone:916-646-0480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator