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Organization
HEALTH CARE FOR THE HOMELESS
Active
Organization
HEALTH CARE FOR THE HOMELESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OTERIA RANDALL KOAYEN FNP (CLINICIAN)
(510) 532-1930
Entity
Organization
Contact information
Practice address
1900 FRUITVALE AVE, OAKLAND, CA 94601-2464
(510) 532-1930
Mailing address
1166 BROOKTRAIL DR, PITTSBURG, CA 94565-7627
(925) 562-9335
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
439624
CA
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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