Individual provider · Type 1 NPI

Clare Elizabeth Wise

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

NPI number 1205418159 Active

Practice location

430 Broadway St
Redwood City, CA 94063-3132

Call (650) 721-7669 Map

Mailing address

430 Broadway Street, Mc: 6342, Pavilion C, 4th Floor
Redwood City, CA 94063-3132

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 1205418159

Clare Elizabeth Wise's National Provider Identifier is 1205418159, issued on Apr 21, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redwood City, CA. The record was last updated on Apr 21, 2021.