Most Relevant Information
Provider Data
| NPI Number: | 1003295601 |
| Provider Name: | ELIZABETH ANN STUMM |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2015 |
| Last Updated: | 05/28/2015 |
Provider Practice Location
830 UNIVERSITY AVE
BERKELEY
CA
947102044
Practice Location Phone/Fax
| Phone: | 5109815350 |
| Fax: |
Provider Mailing Location
830 UNIVERSITY AVE
BERKELEY
CA
947102044
Provider Mailing Phone/Fax
| Phone: | 5109815350 |
| Fax: |