CORNELIUS STALLWORTH

STOCKTON, CA
NPI1417123936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2008-05-05
Last Update Date2024-01-11
Business Address
Mr. CORNELIUS STALLWORTH
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
Mailing Address
Mr. CORNELIUS STALLWORTH
445 N SAN JOAQUIN ST
STOCKTON, CA 95202-2003
Phone number: 209-943-4035
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