Individual provider · Type 1 NPI

Stacey Barros

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1104028901 Active

Practice location

2648 International Blvd
Oakland, CA 94601-1506

Call (510) 903-7504 Map

Fax (510) 437-8959

Mailing address

1315 66th St
Berkeley, CA 94702-2617

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1104028901

Stacey Barros's National Provider Identifier is 1104028901, issued on Jun 4, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.