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Grace Anna Walcott
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1417625336

Grace Anna Walcott is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Grace Anna Walcott practices in Berkeley, CA. The NPI Number for Grace Anna Walcott is 1417625336 and holds a License No. (California).

The current practice location address for Grace Anna Walcott is 2712 Telegraph Ave, Berkeley, CA and can be reached out via phone at 510-548-8283.

Location: 2712 Telegraph Ave, Berkeley, CA, 94618-1571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417625336
Provider Name
Grace Anna Walcott
Credential
Provider Entity Type
Individual
Gender
Female
Address
2712 Telegraph Ave, Berkeley, CA, 94618-1571
Phone Number
510-548-8283
Fax Number
Provider Enumeration Date
09/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2712 Telegraph Ave
City
Berkeley
State
California
Zip
94705-1117
Phone Number
510-548-8283
Fax Number
person
Provider Business Mailing Address Details
Address
2712 Telegraph Ave
City
Berkeley
State
California
Zip
94705-1117
Phone Number
510-548-8283
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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