NPI 1235878190

Stacey Edwina Hendricks

Practitioner Community Health Worker Vallejo, CA

Practice location

Address: 908 Tuolumne St, Vallejo, CA 94590-4641
Phone: (707) 648-8121

Registered specialties (3)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1235878190
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2022
Record last updated: 8 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.