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Brent Etiz
Student in an Organized Health Care Education/Training Program in Stanford, California
NPI 1447909676

Brent Etiz is a Student in an Organized Health Care Education/Training Program based in Irvine, CA. Brent Etiz practices in Stanford, CA. The NPI Number for Brent Etiz is 1447909676 and holds a License No. (California).

The current practice location address for Brent Etiz is 300 Pasteur Dr, Stanford, CA and can be reached out via phone at 650-723-6661 and via fax at 650-498-6205.

Location: 300 Pasteur Dr, Stanford, CA, 92620-3472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447909676
Provider Name
Brent Etiz
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Dr, Stanford, CA, 92620-3472
Phone Number
650-723-6661
Fax Number
650-498-6205
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-5133
Phone Number
650-723-6661
Fax Number
650-498-6205
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-5133
Phone Number
650-723-6661
Fax Number
650-498-6205
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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