Most Relevant Information
Provider Data
| NPI Number: | 1003634049 |
| Provider Name: | SAMUEL E MIZYED |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2024 |
| Last Updated: | 10/14/2024 |
Provider Practice Location
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA
CA
945011078
Practice Location Phone/Fax
| Phone: | 5103377950 |
| Fax: |
Provider Mailing Location
1479 MARLIN AVE
FOSTER CITY
CA
944041448
Provider Mailing Phone/Fax
| Phone: | 6503465949 |
| Fax: |