AUSTIN CECIL BACON

OAKLAND, CA
NPI1750220752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-03-25
Last Update Date2026-03-25
Business Address
AUSTIN CECIL BACON
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 301-919-5497
Mailing Address
AUSTIN CECIL BACON
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 301-919-5497