Individual provider · Type 1 NPI

Justine Fan

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

NPI number 1861747222 Active

Practice location

39155 Liberty St, Suite E500
Fremont, CA 94538-1513

Call (510) 574-2114 Map

Mailing address

23 Woodhill Dr
Redwood City, CA 94061

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 1861747222

Justine Fan's National Provider Identifier is 1861747222, issued on Jul 20, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fremont, CA. The record was last updated on Jul 24, 2013.