Individual provider · Type 1 NPI

Grace Anna Walcott

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

NPI number 1417625336 Active

Practice location

2712 Telegraph Ave
Berkeley, CA 94705-1117

Mailing address

5775 Broadway
Oakland, CA 94618-1571

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 1417625336

Grace Anna Walcott's National Provider Identifier is 1417625336, issued on Sep 3, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Sep 3, 2021.