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Michelle Black
Student in an Organized Health Care Education/Training Program in Emeryville, California
NPI 1114334257

Michelle Black is a Student in an Organized Health Care Education/Training Program based in Emeryville, CA. Michelle Black practices in Emeryville, CA. The NPI Number for Michelle Black is 1114334257 and holds a License No. (California).

The current practice location address for Michelle Black is 1375 55Th St, Emeryville, CA and can be reached out via phone at 510-655-7880.

Location: 1375 55Th St, Emeryville, CA, 94608-2609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114334257
Provider Name
Michelle Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
1375 55Th St, Emeryville, CA, 94608-2609
Phone Number
510-655-7880
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1375 55Th St
City
Emeryville
State
California
Zip
94608-2609
Phone Number
510-655-7880
Fax Number
person
Provider Business Mailing Address Details
Address
1375 55Th St
City
Emeryville
State
California
Zip
94608-2609
Phone Number
510-655-7880
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.
()
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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