MICHAEL P CUSTODIO

OAKLAND, CA
NPI1942033113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-08-23
Last Update Date2024-08-23
Business Address
MICHAEL P CUSTODIO
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Mailing Address
MICHAEL P CUSTODIO
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330