person
Melissa Jean Southwood
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1417403197

Melissa Jean Southwood is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Melissa Jean Southwood practices in Oakland, CA. The NPI Number for Melissa Jean Southwood is 1417403197 and holds a License No. S68365377155804 (California).

The current practice location address for Melissa Jean Southwood is 2501 Harrison St, Oakland, CA and can be reached out via phone at 510-444-3344.

Location: 2501 Harrison St, Oakland, CA, 94612-3811
person
Provider Profile Details
NPI Number
1417403197
Provider Name
Melissa Jean Southwood
Credential
Provider Entity Type
Individual
Gender
Female
Address
2501 Harrison St, Oakland, CA, 94612-3811
Phone Number
510-444-3344
Fax Number
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2501 Harrison St
City
State
Zip
94612-3811
Phone Number
510-444-3344
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Harrison St
City
State
Zip
94612-3811
Phone Number
510-444-3344
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
S68365377155804 (New Jersey)
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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