person
Albert Vincent Lebouton IV, SRNA
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1780319608

Albert Vincent Lebouton IV is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Albert Vincent Lebouton IV practices in Oakland, CA and has the professional credentials of SRNA. The NPI Number for Albert Vincent Lebouton IV is 1780319608 and holds a License No. (California).

The current practice location address for Albert Vincent Lebouton IV is 3100 Telegraph Ave Ste 350, Oakland, CA and can be reached out via phone at 800-607-6377.

Location: 3100 Telegraph Ave Ste 350, Oakland, CA, 94609-3239
person
Provider Profile Details
NPI Number
1780319608
Provider Name
Albert Vincent Lebouton IV
Credential
SRNA
Provider Entity Type
Individual
Gender
Male
Address
3100 Telegraph Ave Ste 350, Oakland, CA, 94609-3239
Phone Number
800-607-6377
Fax Number
Provider Enumeration Date
07/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Telegraph Ave Ste 350
City
State
Zip
94609-3239
Phone Number
800-607-6377
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Telegraph Ave Ste 350
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.
()
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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