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Keonnie Parrilla
Student in an Organized Health Care Education/Training Program in San Francisco, California
NPI 1053013912

Keonnie Parrilla is a Student in an Organized Health Care Education/Training Program based in Dallas, CA. Keonnie Parrilla practices in San Francisco, CA. The NPI Number for Keonnie Parrilla is 1053013912 and holds a License No. (California).

The current practice location address for Keonnie Parrilla is 1001 Potrero Ave Bldg 80-83, San Francisco, CA and can be reached out via phone at 628-206-5252.

Location: 1001 Potrero Ave Bldg 80-83, San Francisco, CA, 75235-5535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053013912
Provider Name
Keonnie Parrilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
1001 Potrero Ave Bldg 80-83, San Francisco, CA, 75235-5535
Phone Number
628-206-5252
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 Potrero Ave Bldg 80-83
City
San Francisco
State
California
Zip
94110-3518
Phone Number
628-206-5252
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Potrero Ave Bldg 80-83
City
San Francisco
State
California
Zip
94110-3518
Phone Number
628-206-5252
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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