FREEBORN IDJADJA

ELK GROVE, CA
NPI1295468494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2022-07-05
Last Update Date2024-08-29
Business Address
Mr. FREEBORN IDJADJA
9130 NOLAN ST APT 281
ELK GROVE, CA 95758-7539
Phone number: 916-267-5091
Mailing Address
Mr. FREEBORN IDJADJA
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-267-5091