DAVID WILLIAM MODERSBACH

OAKLAND, CA
NPI1194403048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: CA  04011994)
Enumeration Date2023-07-10
Last Update Date2024-01-03
Business Address
DAVID WILLIAM MODERSBACH
1404 FRANKLIN ST STE 200
OAKLAND, CA 94612-3208
Phone number: 510-891-8916
Mailing Address
DAVID WILLIAM MODERSBACH
2265 COURTLAND AVE
OAKLAND, CA 94601-4707
Phone number: 510-535-9122