Individual provider · Type 1 NPI

Chantel Dominique Taite

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

NPI number 1609748698 Active

Practice location

200 24th St
Richmond, CA 94804-1804

Call (510) 412-9200 Map

Mailing address

6615 Schmidt Ln Apt 21
El Cerrito, CA 94530-2648

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 1609748698

Chantel Dominique Taite's National Provider Identifier is 1609748698, issued on Sep 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, CA. The record was last updated on Sep 19, 2025.