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Rexford Elledge Bloxsom-carter, MA
Student in an Organized Health Care Education/Training Program in San Francisco, California
NPI 1265712855

Rexford Elledge Bloxsom-carter is a Student in an Organized Health Care Education/Training Program based in San Carlos, CA. Rexford Elledge Bloxsom-carter practices in San Francisco, CA and has the professional credentials of MA. The NPI Number for Rexford Elledge Bloxsom-carter is 1265712855 and holds a License No. (California).

The current practice location address for Rexford Elledge Bloxsom-carter is 995 Potrero Ave, San Francisco, CA and can be reached out via phone at 415-206-6824.

Location: 995 Potrero Ave, San Francisco, CA, 94070-8401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265712855
Provider Name
Rexford Elledge Bloxsom-carter
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
995 Potrero Ave, San Francisco, CA, 94070-8401
Phone Number
415-206-6824
Fax Number
Provider Enumeration Date
08/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8121 05 CA
institution
Provider Business Practice Location Address Details
Address
995 Potrero Ave
City
San Francisco
State
California
Zip
94110-2859
Phone Number
415-206-6824
Fax Number
person
Provider Business Mailing Address Details
Address
995 Potrero Ave
City
San Francisco
State
California
Zip
94110-2859
Phone Number
415-206-6824
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
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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