person
Ivy Capshaw
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1851925796

Ivy Capshaw is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Ivy Capshaw practices in Oakland, CA. The NPI Number for Ivy Capshaw is 1851925796 and holds a License No. (California).

The current practice location address for Ivy Capshaw is 3209 Galindo St, Oakland, CA and can be reached out via phone at 510-595-9300 and via fax at 833-516-1896.

Location: 3209 Galindo St, Oakland, CA, 94601-2507
person
Provider Profile Details
NPI Number
1851925796
Provider Name
Ivy Capshaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
3209 Galindo St, Oakland, CA, 94601-2507
Phone Number
510-595-9300
Fax Number
833-516-1896
Provider Enumeration Date
03/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3209 Galindo St
City
State
Zip
94601-2507
Phone Number
510-595-9300
Fax Number
833-516-1896
person
Provider Business Mailing Address Details
Address
3209 Galindo St
City
State
Zip
94601-2507
Phone Number
510-595-9300
Fax Number
833-516-1896
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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