Provider Demographics
NPI:1962299727
Name:ROKOBALE, SALOTE MALIMALI
Entity type:Individual
Prefix:
First Name:SALOTE
Middle Name:MALIMALI
Last Name:ROKOBALE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7392 TISDALE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-5540
Mailing Address - Country:US
Mailing Address - Phone:916-548-8848
Mailing Address - Fax:
Practice Address - Street 1:7392 TISDALE WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-5540
Practice Address - Country:US
Practice Address - Phone:916-548-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347700164253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care