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Sofia Konstantina Blankenship
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1679358683

Sofia Konstantina Blankenship is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Sofia Konstantina Blankenship practices in Berkeley, CA. The NPI Number for Sofia Konstantina Blankenship is 1679358683 and holds a License No. (California).

The current practice location address for Sofia Konstantina Blankenship is 3075 Adeline St Ste 120, Berkeley, CA and can be reached out via phone at 510-848-1112. You can also correspond with Sofia Konstantina Blankenship through the mailing address at 3075 ADELINE ST STE 120, BERKELEY, CA - 94703-2579 (mailing address contact number: ).

Location: 3075 Adeline St Ste 120, Berkeley, CA, 94703-2579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679358683
Provider Name
Sofia Konstantina Blankenship
Credential
Provider Entity Type
Individual
Gender
Female
Address
3075 Adeline St Ste 120, Berkeley, CA, 94703-2579
Phone Number
510-848-1112
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3075 Adeline St Ste 120
City
Berkeley
State
California
Zip
94703-2579
Phone Number
510-848-1112
Fax Number
person
Provider Business Mailing Address Details
Address
3075 Adeline St Ste 120
City
Berkeley
State
California
Zip
94703-2579
Phone Number
510-848-1112
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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