Individual
GLORIA KANANI VALLEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8129
Mailing address
419 WOODHAVEN DR, VACAVILLE, CA 95687-5941
(786) 856-6222
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
04/02/2024
Last updated
04/28/2026
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