Individual provider · Type 1 NPI

Ashantai Ellington

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

NPI number 1740630037 Active

Practice location

2045 Fairmont Dr
San Leandro, CA 94578-1088

Call (510) 667-7500 Map

Fax (510) 667-7522

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 1740630037

Ashantai Ellington's National Provider Identifier is 1740630037, issued on Jun 16, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Leandro, CA. The record was last updated on Jun 16, 2016.