Angelique Berens

NPI 1174647945 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1174647945
Gender Female
Enumeration Date 03/19/2007
Last Updated 07/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1480 LINCOLN AVE STE 8
SAN RAFAEL CA, 94901-2085, US
Phone (415) 456-7724
Fax (415) 456-1050
Business Location
1480 LINCOLN AVE STE 8
SAN RAFAEL CA, 94901-2085, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Angelique Berens NPI is 1174647945, taxonomy code is 390200000X Angelique Berens physically located at 1480 Lincoln Ave Ste 8, San Rafael CA, 94901-2085. NPI Number Angelique Berens has the Individual type.

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1174647945 NPI number is provided on an as is basis without warranty of any kind. 1174647945 is maintained by the National Plan & Provider Enumeration System. The contents of Angelique Berens are for informational purposes only.