Ardenwood Elementary School | |
33955 Emilia Ln Fremont CA 94555-2068 | |
(510) 794-0392 | |
Not Available |
Full Name | Ardenwood Elementary School |
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Speciality | Community/behavioral Health |
Location | 33955 Emilia Ln, Fremont, California |
Authorized Official Name and Position | Annie Bailey (ADMINISTRATOR) |
Authorized Official Contact | 5105742100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ardenwood Elementary School 39155 Liberty St., #e500 Fremont CA 94537-5006 Ph: (510) 574-2100 | Ardenwood Elementary School 33955 Emilia Ln Fremont CA 94555-2068 Ph: (510) 794-0392 |
NPI Number | 1073913810 |
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Provider Enumeration Date | 08/29/2014 |
Last Update Date | 08/24/2020 |
Certification Date | 08/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073913810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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