Individual
PAUL ISAAC JIBAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-FLDWSE
CA
Other
Enumeration date
08/10/2023
Last updated
07/11/2024
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