Individual provider · Type 1 NPI

Elana Antolin-Wilczek

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

NPI number 1760146815 Active

Practice location

24301 Southland Dr Ste 300
Hayward, CA 94545-1546

Call (510) 300-3570 Map

Fax (877) 992-0038

Mailing address

1165 Excelsior Ave
Oakland, CA 94610-2828

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 1760146815

Elana Antolin-Wilczek's National Provider Identifier is 1760146815, issued on Oct 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hayward, CA. The record was last updated on Jul 15, 2024.