Individual provider · Type 1 NPI

Deaster St. Charles

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

NPI number 1740684364 Active

Practice location

9343 Tech Center Dr
Sacramento, CA 95826

Call (510) 459-6499 Map

Mailing address

2415 Seamist Dr
Sacramento, CA 95833-2344

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
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 1740684364

Deaster St. Charles's National Provider Identifier is 1740684364, issued on Oct 9, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 6, 2018.