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Camden Bradley Fuller
Student in an Organized Health Care Education/Training Program in Santa Clara, California
NPI 1346937166

Camden Bradley Fuller is a Student in an Organized Health Care Education/Training Program based in Santa Clara, CA. Camden Bradley Fuller practices in Santa Clara, CA. The NPI Number for Camden Bradley Fuller is 1346937166 and holds a License No. (California).

The current practice location address for Camden Bradley Fuller is 3480 Granada Ave Apt 207, Santa Clara, CA and can be reached out via phone at 818-939-5052.

Location: 3480 Granada Ave Apt 207, Santa Clara, CA, 95051-3430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346937166
Provider Name
Camden Bradley Fuller
Credential
Provider Entity Type
Individual
Gender
Male
Address
3480 Granada Ave Apt 207, Santa Clara, CA, 95051-3430
Phone Number
818-939-5052
Fax Number
Provider Enumeration Date
04/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3480 Granada Ave Apt 207
City
Santa Clara
State
California
Zip
95051-3430
Phone Number
818-939-5052
Fax Number
person
Provider Business Mailing Address Details
Address
3480 Granada Ave Apt 207
City
Santa Clara
State
California
Zip
95051-3430
Phone Number
818-939-5052
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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