Dejanique Edith Hudson, is a
Community Health Worker based in El Sobrante, California. Dejanique Edith Hudson is licensed to practice in * (Not Available) (license number ) and her current practice location is
4892 San Pablo Dam Rd, El Sobrante, California. She can be reached at her office (for appointments etc.) via phone at
(510) 236-0444.
NPI number for Dejanique Edith Hudson is 1912669441 and her current mailing address is 4892 San Pablo Dam Rd, El Sobrante, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912669441.
Healthcare Provider's Profile
Full Name | Dejanique Edith Hudson |
---|
Gender | Female |
---|
Speciality | Community Health Worker |
---|
Location | 4892 San Pablo Dam Rd, El Sobrante, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912669441
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 06/08/2023
Medical Identifiers
Medical identifiers for Dejanique Edith Hudson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912669441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dejanique Edith Hudson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dejanique Edith Hudson, 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 Ph: () - | Dejanique Edith Hudson, 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 Ph: (510) 236-0444 |
Reviews and Comments