Miss. Brenda Patricia Gradilla, 101YM0800X
Miss. Brenda Patricia Gradilla, 101YM0800X is a Community Health Worker in Stockton, California. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2495 W March Ln Ste 125Stockton, CA 95207-8224
Phone: (209) 465-1080
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Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1497405120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | 101YM0800X |
| Sole proprietor | No |
| NPI enumerated | March 25, 2022 |
| Last updated in NPPES | March 26, 2025 |
| Certification date | March 26, 2025 |
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