Individual
MR. DARRYL R KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.B., M.I.A.
Contact information
Practice address
954 60TH ST STE 10, OAKLAND, CA 94608-2369
(510) 508-6683
(510) 835-1062
Mailing address
954 60TH ST STE 10, OAKLAND, CA 94608-2369
(510) 835-2505
(510) 835-1062
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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