Jacell Dietrich-Smith
Community Health Worker in Redwood City, CA. Individual provider (NPI-1).
NPI number1629439823
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1629439823
- Entity type
- Individual (NPI-1)
- Name
- Jacell Dietrich-Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2016
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
1410 Marshall StRedwood City, CA 94063-2503
Phone 650-373-0777
Mailing address
1410 Marshall StRedwood City, CA 94063-2503
Phone 650-373-0777
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All 86 Community Health Worker providers in Redwood City · All 3,308 providers in Redwood City
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