Organization
CELL-ED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAVIS - BRUNER MS,PCC (PROGRAM COORDINATOR)
(509) 956-8354
Entity
Organization
Contact information
Practice address
855 EL CAMINO REAL STE 13A-212, PALO ALTO, CA 94301-2305
(650) 444-6069
Mailing address
855 EL CAMINO REAL STE 13A-212, PALO ALTO, CA 94301-2305
(650) 444-6069
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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