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Ethan Roberts
Student in an Organized Health Care Education/Training Program in El Cerrito, California
NPI 1497193585

Ethan Roberts is a Student in an Organized Health Care Education/Training Program based in El Cerrito, CA. Ethan Roberts practices in El Cerrito, CA. The NPI Number for Ethan Roberts is 1497193585 and holds a License No. (California).

The current practice location address for Ethan Roberts is 722 Norvell St, El Cerrito, CA and can be reached out via phone at 510-647-9836.

Location: 722 Norvell St, El Cerrito, CA, 94530-3246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497193585
Provider Name
Ethan Roberts
Credential
Provider Entity Type
Individual
Gender
Male
Address
722 Norvell St, El Cerrito, CA, 94530-3246
Phone Number
510-647-9836
Fax Number
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
722 Norvell St
City
El Cerrito
State
California
Zip
94530-3246
Phone Number
510-647-9836
Fax Number
person
Provider Business Mailing Address Details
Address
722 Norvell St
City
El Cerrito
State
California
Zip
94530-3246
Phone Number
510-647-9836
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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