Individual provider · Type 1 NPI

Sofia Konstantina Blankenship

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

NPI number 1679358683 Active

Practice location

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Mailing address

3075 Adeline St Ste 120
Berkeley, CA 94703-2579

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 1679358683

Sofia Konstantina Blankenship's National Provider Identifier is 1679358683, issued on Aug 28, 2023. 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 7, 2024.