Shalila Shek De Bourmont
Student in an Organized Health Care Education/Training Program in Oakland, CA. Individual provider (NPI-1).
NPI number1629596176
StatusActive
Last updated in NPPESMar 19, 2023
Details
- NPI
- 1629596176
- Entity type
- Individual (NPI-1)
- Name
- Shalila Shek De Bourmont
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2017
- Certification date
- Mar 19, 2023
- Last updated
- Mar 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 174H00000X | Health Educator | – | – |
Practice location
275 W Macarthur BlvdOakland, CA 94611-5641
Phone 510-752-1000
Mailing address
275 W Macarthur BlvdOakland, CA 94611-5641
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