Individual provider · Type 1 NPI

Chelsea Fairbanks

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

NPI number 1629316005 Active

Practice location

2536 Laguna Vista Dr
Novato, CA 94945-1526

Call (415) 250-0797 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XD7571234 (CA)

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 1629316005

Chelsea Fairbanks's National Provider Identifier is 1629316005, issued on Jan 20, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Novato, CA. The record was last updated on Jan 20, 2013.