| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRACIELA PULIDO | 1326621954 | 2021-05-02 |
Graciela Pulido is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326621954. Registration indicates Graciela Pulido is a provider of services with a specialization in Other Service Providers, Community Health Worker (Community Health Worker, ) (Community Health Worker, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Graciela Pulido |
| Practice Office Address | 10429 INTERNATIONAL BLVD OAKLAND, CA US |
| Practice Office Telephone | 5107778448 |
| Mailing Address | 10429 INTERNATIONAL BLVD OAKLAND, CA 946033221 US |
| Business Telephone | 5107778448 |
| organization email [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 172V00000X PRIMARY | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers |
| E1090338 | MEDICAID | CA |