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Brooklyn Helene Douglas
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1689256380

Brooklyn Helene Douglas is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Brooklyn Helene Douglas practices in San Diego, CA. The NPI Number for Brooklyn Helene Douglas is 1689256380 and holds a License No. (California).

The current practice location address for Brooklyn Helene Douglas is 1031 25Th St, San Diego, CA and can be reached out via phone at 619-232-6454.

Location: 1031 25Th St, San Diego, CA, 92123-1985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689256380
Provider Name
Brooklyn Helene Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1031 25Th St, San Diego, CA, 92123-1985
Phone Number
619-232-6454
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1031 25Th St
City
San Diego
State
California
Zip
92102-2102
Phone Number
619-232-6454
Fax Number
person
Provider Business Mailing Address Details
Address
1031 25Th St
City
San Diego
State
California
Zip
92102-2102
Phone Number
619-232-6454
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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