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Chelsea Fairbanks
Student in an Organized Health Care Education/Training Program in Novato, California
NPI 1629316005

Chelsea Fairbanks is a Student in an Organized Health Care Education/Training Program based in Novato, CA. Chelsea Fairbanks practices in Novato, CA. The NPI Number for Chelsea Fairbanks is 1629316005 and holds a License No. D7571234 (California).

The current practice location address for Chelsea Fairbanks is 2536 Laguna Vista Dr, Novato, CA and can be reached out via phone at 415-250-0797.

Location: 2536 Laguna Vista Dr, Novato, CA, 94945-1526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629316005
Provider Name
Chelsea Fairbanks
Credential
Provider Entity Type
Individual
Gender
Female
Address
2536 Laguna Vista Dr, Novato, CA, 94945-1526
Phone Number
415-250-0797
Fax Number
Provider Enumeration Date
01/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2536 Laguna Vista Dr
City
Novato
State
California
Zip
94945-1526
Phone Number
415-250-0797
Fax Number
person
Provider Business Mailing Address Details
Address
2536 Laguna Vista Dr
City
Novato
State
California
Zip
94945-1526
Phone Number
415-250-0797
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.
D7571234 (California)
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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