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Georginea L Mackie, INTERNMSWSTUDENT
Student in an Organized Health Care Education/Training Program in San Pablo, California
NPI 1225727670

Georginea L Mackie is a Student in an Organized Health Care Education/Training Program based in San Pablo, CA. Georginea L Mackie practices in San Pablo, CA and has the professional credentials of INTERNMSWSTUDENT. The NPI Number for Georginea L Mackie is 1225727670 and holds a License No. (California).

The current practice location address for Georginea L Mackie is 13585 San Pablo Avenue, San Pablo, CA and can be reached out via phone at 510-942-4600.

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
1225727670
Provider Name
Georginea L Mackie
Credential
INTERNMSWSTUDENT
Provider Entity Type
Individual
Gender
Female
Address
13585 San Pablo Avenue, San Pablo, CA, 94806
Phone Number
510-942-4600
Fax Number
Provider Enumeration Date
05/02/2023
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
510-942-4600
Fax Number
person
Provider Business Mailing Address Details
Address
13585 San Pablo Avenue
City
San Pablo
State
California
Zip
94806
Phone Number
510-942-4600
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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