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Elizabeth Julia Ensler
Student in an Organized Health Care Education/Training Program in El Cerrito, California
NPI 1578246039

Elizabeth Julia Ensler is a Student in an Organized Health Care Education/Training Program based in El Cerrito, CA. Elizabeth Julia Ensler practices in El Cerrito, CA. The NPI Number for Elizabeth Julia Ensler is 1578246039 and holds a License No. (California).

The current practice location address for Elizabeth Julia Ensler is 7666 Stockton Ave, El Cerrito, CA and can be reached out via phone at 510-725-5895.

Location: 7666 Stockton Ave, El Cerrito, CA, 94530-3036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578246039
Provider Name
Elizabeth Julia Ensler
Credential
Provider Entity Type
Individual
Gender
Female
Address
7666 Stockton Ave, El Cerrito, CA, 94530-3036
Phone Number
510-725-5895
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7666 Stockton Ave
City
El Cerrito
State
California
Zip
94530-3036
Phone Number
510-725-5895
Fax Number
person
Provider Business Mailing Address Details
Address
7666 Stockton Ave
City
El Cerrito
State
California
Zip
94530-3036
Phone Number
510-725-5895
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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