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Grant Stephen Robert Rehfeld

Community Health Worker in Santa Monica, CA. Individual provider (NPI-1).

NPI number1265099345
StatusActive
Last updated in NPPESMay 23, 2019

Details

NPI
1265099345
Entity type
Individual (NPI-1)
Name
Grant Stephen Robert Rehfeld
Sex
Male
Sole proprietor
Yes
Enumeration date
May 23, 2019
Last updated
May 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1619 Santa Monica Blvd
Santa Monica, CA 90404-1807

Phone 310-392-5855

Mailing address

1619 Santa Monica Blvd
Santa Monica, CA 90404-1807

Phone 310-392-5855

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