Individual provider · NPI-1

Brooke Byron

Community Health Worker · Oakland, CA

NPI number1932838596
StatusActive
Last updated in NPPESJun 28, 2022

Details

NPI
1932838596
Entity type
Individual (NPI-1)
Name
Brooke Byron
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2022
Certification date
Jun 28, 2022
Last updated
Jun 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
156F00000X Technician/Technologist––

Practice location

8945 Golf Links Rd
Oakland, CA 94605-4124

Phone 510-317-1444

Mailing address

8945 Golf Links Rd
Oakland, CA 94605-4124

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