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Sangita Gautam
Student in an Organized Health Care Education/Training Program in San Pablo, California
NPI 1003581927

Sangita Gautam is a Student in an Organized Health Care Education/Training Program based in San Pablo, CA. Sangita Gautam practices in San Pablo, CA. The NPI Number for Sangita Gautam is 1003581927 and holds a License No. (California).

The current practice location address for Sangita Gautam is 13585 San Pablo Avenue, San Pablo, CA and can be reached out via phone at 510-230-8121 and via fax at 510-942-4601.

Location: 13585 San Pablo Avenue, San Pablo, CA, 94806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003581927
Provider Name
Sangita Gautam
Credential
Provider Entity Type
Individual
Gender
Female
Address
13585 San Pablo Avenue, San Pablo, CA, 94806
Phone Number
510-230-8121
Fax Number
510-942-4601
Provider Enumeration Date
08/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13585 San Pablo Avenue
City
San Pablo
State
California
Zip
94806
Phone Number
510-230-8121
Fax Number
510-942-4601
person
Provider Business Mailing Address Details
Address
13585 San Pablo Avenue
City
San Pablo
State
California
Zip
94806
Phone Number
510-230-8121
Fax Number
510-942-4601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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