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Sam Chiacchia
Student in an Organized Health Care Education/Training Program in Stanford, California
NPI 1003501347

Sam Chiacchia is a Student in an Organized Health Care Education/Training Program based in Colorado Springs, CA. Sam Chiacchia practices in Stanford, CA. The NPI Number for Sam Chiacchia is 1003501347 and holds a License No. (California).

The current practice location address for Sam Chiacchia is 300 Pasteur Dr, Stanford, CA and can be reached out via phone at 719-332-5313.

Location: 300 Pasteur Dr, Stanford, CA, 80919-3880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003501347
Provider Name
Sam Chiacchia
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Dr, Stanford, CA, 80919-3880
Phone Number
719-332-5313
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
719-332-5313
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
719-332-5313
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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