Most Relevant Information
Provider Data
| NPI Number: | 1003596677 |
| Provider Name: | GLORIA LORRAINE WADUD |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2023 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
2150 STOCKTON BLVD
SACRAMENTO
CA
958171337
Practice Location Phone/Fax
| Phone: | 9168751000 |
| Fax: |
Provider Mailing Location
7912 FARNELL WAY
SACRAMENTO
CA
958234421
Provider Mailing Phone/Fax
| Phone: | 7077041631 |
| Fax: |