Individual provider · Type 1 NPI

Michelle Black

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

NPI number 1114334257 Active

Practice location

1375 55th St
Emeryville, CA 94608-2609

Call (510) 655-7880 Map

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 1114334257

Michelle Black's National Provider Identifier is 1114334257, issued on Jul 22, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Emeryville, CA. The record was last updated on Jul 22, 2014.