Grant Pezeshki

NPI #1972257756 in Berkeley, California

Provider Information

NPI Number: 1972257756
Entity Type: Individual
Name: Grant Pezeshki
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 9, 2022
Last Updated: Feb 11, 2022

Practice Location

Address: 1348 VIRGINIA ST
City: Berkeley
State: California
ZIP Code: 94702-1467
Phone: (718) 857-8729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary
Specialist	174400000X

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