Individual
ADA JANE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 DAVIS ST, SAN LEANDRO, CA 94577-6923
(510) 839-3800
Mailing address
777 DAVIS ST, SAN LEANDRO, CA 94577-6923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128368
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/26/2024
Last updated
02/18/2025
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