Individual
ELLIOT O'BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 MASON ST STE 300, UKIAH, CA 95482-4483
(707) 463-3300
Mailing address
169 MASON ST STE 300, UKIAH, CA 95482-4483
(707) 463-3300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
11/06/2017
Last updated
03/31/2025
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