Individual
GRACE SILIEZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 HARBOR BLVD BLDG E, BELMONT, CA 94002-4018
(650) 802-6431
Mailing address
310 HARBOR BLVD BLDG E, BELMONT, CA 94002-4018
(650) 802-6431
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-ECBIZW
CA
Other
Enumeration date
05/17/2023
Last updated
06/10/2024
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