Individual
TAISA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(510) 601-0203
(510) 601-4002
Mailing address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(510) 601-0203
(510) 601-4002
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
Primary
—
CA
246Y00000X
Health Information Specialist/Technologist
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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