Individual
AIDAN LONGSTRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 94704-3264
(510) 841-1262
Mailing address
1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 94704-3264
(510) 841-1262
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
01/11/2023
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