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Mary Susanne Blanco
Student in an Organized Health Care Education/Training Program in Eureka, California
NPI 1073178828

Mary Susanne Blanco is a Student in an Organized Health Care Education/Training Program based in Eureka, CA. Mary Susanne Blanco practices in Eureka, CA. The NPI Number for Mary Susanne Blanco is 1073178828 and holds a License No. (California).

The current practice location address for Mary Susanne Blanco is 1802 California St, Eureka, CA and can be reached out via phone at 707-443-7358.

Location: 1802 California St, Eureka, CA, 95501-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073178828
Provider Name
Mary Susanne Blanco
Credential
Provider Entity Type
Individual
Gender
Female
Address
1802 California St, Eureka, CA, 95501-2808
Phone Number
707-443-7358
Fax Number
Provider Enumeration Date
05/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1802 California St
City
Eureka
State
California
Zip
95501-2808
Phone Number
707-443-7358
Fax Number
person
Provider Business Mailing Address Details
Address
1802 California St
City
Eureka
State
California
Zip
95501-2808
Phone Number
707-443-7358
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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