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Erica Tendall, MSP
Student in an Organized Health Care Education/Training Program in Fairfield, California
NPI 1023543345

Erica Tendall is a Student in an Organized Health Care Education/Training Program based in Fair Oaks, CA. Erica Tendall practices in Fairfield, CA and has the professional credentials of MSP. The NPI Number for Erica Tendall is 1023543345 and holds a License No. 11346 (California).

The current practice location address for Erica Tendall is 1200 B Gale Wilson Blvd, Fairfield, CA and can be reached out via phone at 707-646-4150.

Location: 1200 B Gale Wilson Blvd, Fairfield, CA, 95628-6742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023543345
Provider Name
Erica Tendall
Credential
MSP
Provider Entity Type
Individual
Gender
Female
Address
1200 B Gale Wilson Blvd, Fairfield, CA, 95628-6742
Phone Number
707-646-4150
Fax Number
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 B Gale Wilson Blvd
City
Fairfield
State
California
Zip
94533-3552
Phone Number
707-646-4150
Fax Number
person
Provider Business Mailing Address Details
Address
1200 B Gale Wilson Blvd
City
Fairfield
State
California
Zip
94533-3552
Phone Number
707-646-4150
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11346 (California)
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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