Individual
NADYCA STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 GRAND AVE STE D, SACRAMENTO, CA 95838-3466
(916) 922-9868
Mailing address
1660 VALLARTA CIR, SACRAMENTO, CA 95834-2106
(678) 770-3694
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
04/22/2025
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