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Individual

BRONCHE JERARD TAYLOR I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 846-0099
Mailing address
311 9TH AVE UNIT 310, OAKLAND, CA 94606-5198

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
172V00000X
Community Health Worker
CA

Other

Enumeration date
11/15/2023
Last updated
12/18/2023
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