Individual
MISS UNWAM I ODUOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1563
(916) 509-8198
Mailing address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1563
(916) 509-8198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/12/2023
Last updated
01/13/2026
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