Individual
PHILLIP BOADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(408) 836-0409
Mailing address
4407 BARON AVE, SACRAMENTO, CA 95821-2201
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
06/19/2025
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