Individual
GABRIELA MACIAS DE MARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHW
Contact information
Practice address
1500 21ST ST, SACRAMENTO, CA 95811-5216
(916) 224-3366
Mailing address
3800 ANNADALE LN, SACRAMENTO, CA 95821-2002
(916) 224-3366
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
05/13/2024
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