| Wothadabora | |
|
128 El Monte Ave Vallejo CA 94591-7947 | |
| (707) 655-5472 | |
| Not Available |
| Full Name | Wothadabora |
|---|---|
| Speciality | Case Management |
| Location | 128 El Monte Ave, Vallejo, California |
| Authorized Official Name and Position | Dannie Cotton (CEO) |
| Authorized Official Contact | 7076555472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wothadabora 829 Sutter St Vallejo CA 94590-6139 Ph: (707) 655-5472 | Wothadabora 128 El Monte Ave Vallejo CA 94591-7947 Ph: (707) 655-5472 |
| NPI Number | 1487549911 |
|---|---|
| Provider Enumeration Date | 06/12/2025 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487549911 | NPI | - | NPPES |
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