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Audreana Justine Brancaccio
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1720866957

Audreana Justine Brancaccio is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Audreana Justine Brancaccio practices in San Diego, CA. The NPI Number for Audreana Justine Brancaccio is 1720866957 and holds a License No. (California).

The current practice location address for Audreana Justine Brancaccio is 9055 Balboa Ave, San Diego, CA and can be reached out via phone at 619-849-7950.

Location: 9055 Balboa Ave, San Diego, CA, 92123-1509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720866957
Provider Name
Audreana Justine Brancaccio
Credential
Provider Entity Type
Individual
Gender
Female
Address
9055 Balboa Ave, San Diego, CA, 92123-1509
Phone Number
619-849-7950
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9055 Balboa Ave
City
San Diego
State
California
Zip
92123-1509
Phone Number
619-849-7950
Fax Number
person
Provider Business Mailing Address Details
Address
9055 Balboa Ave
City
San Diego
State
California
Zip
92123-1509
Phone Number
619-849-7950
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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