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Ardennes Drew Vickery
Student in an Organized Health Care Education/Training Program in Campbell, California
NPI 1043935141

Ardennes Drew Vickery is a Student in an Organized Health Care Education/Training Program based in Santa Clara, CA. Ardennes Drew Vickery practices in Campbell, CA. The NPI Number for Ardennes Drew Vickery is 1043935141 and holds a License No. (California).

The current practice location address for Ardennes Drew Vickery is 251 Llewellyn Ave, Campbell, CA and can be reached out via phone at 669-282-2780.

Location: 251 Llewellyn Ave, Campbell, CA, 95051-5273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043935141
Provider Name
Ardennes Drew Vickery
Credential
Provider Entity Type
Individual
Gender
Female
Address
251 Llewellyn Ave, Campbell, CA, 95051-5273
Phone Number
669-282-2780
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
251 Llewellyn Ave
City
Campbell
State
California
Zip
95008-1940
Phone Number
669-282-2780
Fax Number
person
Provider Business Mailing Address Details
Address
251 Llewellyn Ave
City
Campbell
State
California
Zip
95008-1940
Phone Number
669-282-2780
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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