Provider Demographics
NPI:1154980597
Name:UYIGUE, NOSAZENA LEO
Entity type:Individual
Prefix:
First Name:NOSAZENA
Middle Name:LEO
Last Name:UYIGUE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SACRAMENTO COUNTY MENTAL HEALTH TREATMENT CENTER
Mailing Address - Street 2:2150 STOCKTON BOULEVARD
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1337
Mailing Address - Country:US
Mailing Address - Phone:916-875-1000
Mailing Address - Fax:
Practice Address - Street 1:SACRAMENTO COUNTY MENTAL HEALTH TREATMENT CENTER
Practice Address - Street 2:2150 STOCKTON BOULEVARD
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1337
Practice Address - Country:US
Practice Address - Phone:916-875-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker