person
Clinten Paul Edmondson, PA
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1689333197

Clinten Paul Edmondson is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Clinten Paul Edmondson practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Clinten Paul Edmondson is 1689333197 and holds a License No. (California).

The current practice location address for Clinten Paul Edmondson is 3100 Telegraph Ave, Oakland, CA and can be reached out via phone at 800-607-6377.

Location: 3100 Telegraph Ave, Oakland, CA, 94609-3239
person
Provider Profile Details
NPI Number
1689333197
Provider Name
Clinten Paul Edmondson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3100 Telegraph Ave, Oakland, CA, 94609-3239
Phone Number
800-607-6377
Fax Number
Provider Enumeration Date
12/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Telegraph Ave
City
State
Zip
94609-3239
Phone Number
800-607-6377
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Telegraph Ave
City
State
Zip
94609-3239
Phone Number
800-607-6377
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(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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