Individual provider · NPI-1

Bernice Abbott

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

NPI number1174471643
StatusActive
Last updated in NPPESApr 3, 2026

Details

NPI
1174471643
Entity type
Individual (NPI-1)
Name
Bernice Abbott
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2026
Certification date
Apr 3, 2026
Last updated
Apr 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

3340 Kemper St Ste 105
San Diego, CA 92110-4907

Phone 619-523-8121

Mailing address

3340 Kemper St Ste 105
San Diego, CA 92110-4907

Phone 619-523-8121

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