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Michael De Boisblanc
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1528318284

Michael De Boisblanc is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Michael De Boisblanc practices in Berkeley, CA. The NPI Number for Michael De Boisblanc is 1528318284 and holds a License No. (California).

The current practice location address for Michael De Boisblanc is 1950 Addison St, Berkeley, CA and can be reached out via phone at 917-817-2631.

Location: 1950 Addison St, Berkeley, CA, 94608-1203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528318284
Provider Name
Michael De Boisblanc
Credential
Provider Entity Type
Individual
Gender
Male
Address
1950 Addison St, Berkeley, CA, 94608-1203
Phone Number
917-817-2631
Fax Number
Provider Enumeration Date
09/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1950 Addison St
City
Berkeley
State
California
Zip
94704-1176
Phone Number
917-817-2631
Fax Number
person
Provider Business Mailing Address Details
Address
1950 Addison St
City
Berkeley
State
California
Zip
94704-1176
Phone Number
917-817-2631
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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