Laurence Pass

NPI 1730590480 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1730590480
Gender Female
Enumeration Date 05/15/2014
Last Updated 11/24/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
307 BOATNER RD STE 114
EGLIN AFB FL, 32542-1302, US
Phone (850) 883-8374
Fax
Business Location
307 BOATNER RD STE 114
EGLIN AFB FL, 32542-1302, US
Phone (850) 883-8374
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Laurence Pass NPI is 1730590480, taxonomy code is 390200000X Laurence Pass physically located at 307 Boatner Rd Ste 114, Eglin Afb FL, 32542-1302. NPI Number Laurence Pass has the Individual type.

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1730590480 NPI number is provided on an as is basis without warranty of any kind. 1730590480 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence Pass are for informational purposes only.