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Caitlyn Heredia
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1013567023

Caitlyn Heredia is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Caitlyn Heredia practices in Glendale, AZ. The NPI Number for Caitlyn Heredia is 1013567023 and holds a License No. (Arizona).

The current practice location address for Caitlyn Heredia is 18330 N 79Th Avenue, Glendale, AZ and can be reached out via phone at 951-235-1187.

Location: 18330 N 79Th Avenue, Glendale, AZ, 85308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013567023
Provider Name
Caitlyn Heredia
Credential
Provider Entity Type
Individual
Gender
Female
Address
18330 N 79Th Avenue, Glendale, AZ, 85308
Phone Number
951-235-1187
Fax Number
Provider Enumeration Date
09/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18330 N 79Th Avenue
City
Glendale
State
Arizona
Zip
85308
Phone Number
951-235-1187
Fax Number
person
Provider Business Mailing Address Details
Address
18330 N 79Th Avenue
City
Glendale
State
Arizona
Zip
85308
Phone Number
951-235-1187
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.
(Arizona)
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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