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Ryan Elizabeth Blackwood
Student in an Organized Health Care Education/Training Program in Roseville, California
NPI 1558126946

Ryan Elizabeth Blackwood is a Student in an Organized Health Care Education/Training Program based in Roseville, CA. Ryan Elizabeth Blackwood practices in Roseville, CA. The NPI Number for Ryan Elizabeth Blackwood is 1558126946 and holds a License No. (California).

The current practice location address for Ryan Elizabeth Blackwood is 516 Gibson Dr Ste 100, Roseville, CA and can be reached out via phone at 916-774-6802.

Location: 516 Gibson Dr Ste 100, Roseville, CA, 95678-5792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558126946
Provider Name
Ryan Elizabeth Blackwood
Credential
Provider Entity Type
Individual
Gender
Female
Address
516 Gibson Dr Ste 100, Roseville, CA, 95678-5792
Phone Number
916-774-6802
Fax Number
Provider Enumeration Date
02/15/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
516 Gibson Dr Ste 100
City
Roseville
State
California
Zip
95678-5792
Phone Number
916-774-6802
Fax Number
person
Provider Business Mailing Address Details
Address
516 Gibson Dr Ste 100
City
Roseville
State
California
Zip
95678-5792
Phone Number
916-774-6802
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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