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Eliana Segura
Student in an Organized Health Care Education/Training Program in San Rafael, California
NPI 1689108847

Eliana Segura is a Student in an Organized Health Care Education/Training Program based in American Canyon, CA. Eliana Segura practices in San Rafael, CA. The NPI Number for Eliana Segura is 1689108847 and holds a License No. 19635 (California).

The current practice location address for Eliana Segura is 135 Paul Dr, San Rafael, CA and can be reached out via phone at 415-459-2395.

Location: 135 Paul Dr, San Rafael, CA, 94503-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689108847
Provider Name
Eliana Segura
Credential
Provider Entity Type
Individual
Gender
Female
Address
135 Paul Dr, San Rafael, CA, 94503-1327
Phone Number
415-459-2395
Fax Number
Provider Enumeration Date
04/14/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 01 CA 390200000X
institution
Provider Business Practice Location Address Details
Address
135 Paul Dr
City
San Rafael
State
California
Zip
94903-2023
Phone Number
415-459-2395
Fax Number
person
Provider Business Mailing Address Details
Address
135 Paul Dr
City
San Rafael
State
California
Zip
94903-2023
Phone Number
415-459-2395
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
19635 (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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