Individual
AALIYAH HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
PO BOX 3175, OAKLAND, CA 94609-0175
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
208000000X
Pediatrics Physician
Primary
A149007
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2014
Last updated
03/14/2019
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