Individual
KOFI ISABELLA NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 536-8111
Mailing address
5055 REID CT, RICHMOND, CA 94804-4404
(510) 536-8111
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MHWJTC
CA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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