Bay Area Diabetes Prevention Program
NPI #1457841520 in Oakland, California
Provider Information
- NPI Number
- 1457841520
- Entity Type
- Organization
- Organization Name
- Bay Area Diabetes Prevention Program
- Primary Specialty
- Prevention Professional
- Enumeration Date
- May 15, 2018
- Last Updated
- May 15, 2018
Practice Location
- Address
- 2323 BROADWAY
- City
- Oakland
- State
- California
- ZIP Code
- 94612-2414
- Phone
- (415) 580-0090
Authorized Official
- Name
- BENITA JACQUES
- Title
- CERTIFIED LIFESTYLE COACH
- Phone
- (415) 580-0090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prevention Professional |
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