Elizabeth Julia Ensler
Elizabeth Julia Ensler is a Student in an Organized Health Care Education/Training Program in El Cerrito, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
7666 Stockton AveEl Cerrito, CA 94530-3036
Phone: (510) 725-5895
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1578246039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 10, 2023 |
| Last updated in NPPES | August 10, 2023 |
| Certification date | August 10, 2023 |
| Mailing address | 7666 Stockton Ave, El Cerrito, CA 94530-3036 |
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