person
Wallace Andrew Lafont
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1285914507

Wallace Andrew Lafont is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Wallace Andrew Lafont practices in Oakland, CA. The NPI Number for Wallace Andrew Lafont is 1285914507 and holds a License No. (California).

The current practice location address for Wallace Andrew Lafont is 390 40Th St, Oakland, CA and can be reached out via phone at 510-653-5040 and via fax at 510-653-6475.

Location: 390 40Th St, Oakland, CA, 94609-2633
person
Provider Profile Details
NPI Number
1285914507
Provider Name
Wallace Andrew Lafont
Credential
Provider Entity Type
Individual
Gender
Male
Address
390 40Th St, Oakland, CA, 94609-2633
Phone Number
510-653-5040
Fax Number
510-653-6475
Provider Enumeration Date
08/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
390 40Th St
City
State
Zip
94609-2633
Phone Number
510-653-5040
Fax Number
510-653-6475
person
Provider Business Mailing Address Details
Address
390 40Th St
City
State
Zip
94609-2633
Phone Number
510-653-5040
Fax Number
510-653-6475
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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