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Gabriela Macias De Mariscal, CPHW

Community Health Worker in Sacramento, CA. Individual provider (NPI-1).

NPI number1124874813
StatusActive
Last updated in NPPESMay 13, 2024

Details

NPI
1124874813
Entity type
Individual (NPI-1)
Name
Gabriela Macias De Mariscal
Credential
CPHW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2024
Certification date
May 13, 2024
Last updated
May 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1500 21st St
Sacramento, CA 95811-5216

Phone 916-224-3366

Mailing address

3800 Annadale Ln
Sacramento, CA 95821-2002

Phone 916-224-3366

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