Individual provider · Type 1 NPI

Ethan Roberts

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

NPI number 1497193585 Active

Practice location

722 Norvell St
El Cerrito, CA 94530-3246

Call (510) 647-9836 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 1497193585

Ethan Roberts's National Provider Identifier is 1497193585, issued on Jun 11, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Cerrito, CA. The record was last updated on Feb 11, 2022.