Venice Angel

NPI 1063829398 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063829398
Gender Female
Enumeration Date 07/18/2014
Last Updated 07/18/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
15847 DAVIS CUP LN
RAMONA CA, 92065-4937, US
Phone (858) 212-8455
Fax
Business Location
15847 DAVIS CUP LN
RAMONA CA, 92065-4937, US
Phone (858) 212-8455
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Venice Angel NPI is 1063829398, taxonomy code is 390200000X Venice Angel physically located at 15847 Davis Cup Ln, Ramona CA, 92065-4937. NPI Number Venice Angel has the Individual type.

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1063829398 NPI number is provided on an as is basis without warranty of any kind. 1063829398 is maintained by the National Plan & Provider Enumeration System. The contents of Venice Angel are for informational purposes only.