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Andre Serita
Student in an Organized Health Care Education/Training Program in San Rafael, California
NPI 1598431082

Andre Serita is a Student in an Organized Health Care Education/Training Program based in San Jose, CA. Andre Serita practices in San Rafael, CA. The NPI Number for Andre Serita is 1598431082 and holds a License No. (California).

The current practice location address for Andre Serita is 3270 Kerner Blvd, San Rafael, CA and can be reached out via phone at 415-473-6828.

Location: 3270 Kerner Blvd, San Rafael, CA, 95128-3271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598431082
Provider Name
Andre Serita
Credential
Provider Entity Type
Individual
Gender
Male
Address
3270 Kerner Blvd, San Rafael, CA, 95128-3271
Phone Number
415-473-6828
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3270 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
415-473-6828
Fax Number
person
Provider Business Mailing Address Details
Address
3270 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
415-473-6828
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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