Individual
HOM DE SAN LABYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
268 GRAND AVE, OAKLAND, CA 94610-4724
(415) 990-5902
Mailing address
268 GRAND AVE, OAKLAND, CA 94610-4724
(415) 990-5902
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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