Albert Vincent Lebouton IV, SRNA
Albert Vincent Lebouton IV, SRNA is a Student in an Organized Health Care Education/Training Program in Oakland, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3100 Telegraph Ave Ste 350Oakland, CA 94609-3239
Phone: (800) 607-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1780319608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SRNA |
| Sole proprietor | No |
| NPI enumerated | July 24, 2022 |
| Last updated in NPPES | July 24, 2022 |
| Certification date | July 24, 2022 |
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