NPI 1003508052
Khadija Lanae Bryant
Practice location
- Address
- 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222
- Phone
- (510) 243-2360
- Mailing address
- 8945 Golf Links Rd, Oakland, CA 94605-4124
Registered specialties (2)
Day Training/Habilitation Specialist
Primary
Community Health Worker
Registry record
- NPI
- 1003508052
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 May 2023
- Record last updated
- 25 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.