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Benjamin Ronald Fisher
Student in an Organized Health Care Education/Training Program in San Rafael, California
NPI 1194577122

Benjamin Ronald Fisher is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Benjamin Ronald Fisher practices in San Rafael, CA. The NPI Number for Benjamin Ronald Fisher is 1194577122 and holds a License No. (California).

The current practice location address for Benjamin Ronald Fisher is 1330 Lincoln Ave Ste 201, San Rafael, CA and can be reached out via phone at 415-459-5999.

Location: 1330 Lincoln Ave Ste 201, San Rafael, CA, 94703-2385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194577122
Provider Name
Benjamin Ronald Fisher
Credential
Provider Entity Type
Individual
Gender
Male
Address
1330 Lincoln Ave Ste 201, San Rafael, CA, 94703-2385
Phone Number
415-459-5999
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1330 Lincoln Ave Ste 201
City
San Rafael
State
California
Zip
94901-2142
Phone Number
415-459-5999
Fax Number
person
Provider Business Mailing Address Details
Address
1330 Lincoln Ave Ste 201
City
San Rafael
State
California
Zip
94901-2142
Phone Number
415-459-5999
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.
(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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