STACEY EDWINA HENDRICKS

VALLEJO, CA
NPI1235878190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-05-31
Last Update Date2024-01-10
Business Address
STACEY EDWINA HENDRICKS
908 TUOLUMNE ST
VALLEJO, CA 94590-4641
Phone number: 707-648-8121
Mailing Address
STACEY EDWINA HENDRICKS
908 TUOLUMNE ST
VALLEJO, CA 94590-4641
Phone number: