STACEY HENDRICKS
Community Health Worker
Active
Individual
NPI: 1235878190
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Adult Companion | 372600000X | No | - |
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1235878190 is the National Provider Identifier for STACEY HENDRICKS, a Community Health Worker provider located in Vallejo, CA. This NPI was enumerated on May 31, 2022.
STACEY HENDRICKS practices at 908 TUOLUMNE ST, Vallejo, CA 94590.
Quick Facts
- NPI
- 1235878190
- Type
- Individual
- Enumerated
- May 31, 2022
- Last Updated
- May 8, 2025
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