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NPI Code Detail

MEDICARE: ANABELLA GRACE KING

MEDICARE: ANABELLA GRACE KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker132684CA

General Provider Information

NPI Number : 1265296743
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANABELLA GRACE KING
Provider Business Mailing Address
First Line : 5325 BRODER BLVD
Second Line :
City : DUBLIN
State : CA
Zip : 94568-3309
Country : US
Telephone Number : 925-551-6500
Fax Number :
Provider Business Practice Location Address
First Line : 5325 BRODER BLVD
Second Line :
City : DUBLIN
State : CA
Zip : 94568-3309
Country : US
Telephone Number : 925-551-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 03/03/2026

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Directions to “ ANABELLA GRACE KING ” Practice Location

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