Individual
GYANAI GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 RICHMOND PKWY APT 2415, SAN PABLO, CA 94806-5229
(510) 860-0929
Mailing address
3400 RICHMOND PKWY APT 2415, SAN PABLO, CA 94806-5229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
02/10/2026
Last updated
02/18/2026
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