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Jake Glodowski

Case Manager/Care Coordinator in Oakland, CA. Individual provider (NPI-1).

NPI number1346853645
StatusActive
Last updated in NPPESAug 26, 2020

Details

NPI
1346853645
Entity type
Individual (NPI-1)
Name
Jake Glodowski
Sex
Male
Sole proprietor
No
Enumeration date
Aug 26, 2020
Certification date
Aug 26, 2020
Last updated
Aug 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

400 Broadway
Oakland, CA 94607-3807

Phone 510-208-1155

Mailing address

400 Broadway
Oakland, CA 94607-3807

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