NPI 1902430960

Gloria Jean Dalle Poulos, NBCHWCFMCHCCHES

Practitioner Community Health Worker Fridley, MN

Practice location

Address: 6401 University Ave NE, Fridley, MN 55432-4341
Phone: (507) 330-0468
Mailing address: 6405 France Ave S STE W440, Edina, MN 55435-2190

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Minnesota →

Registry record

NPI: 1902430960
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2020
Record last updated: 4 Jan 2022

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.