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Mary Alexandra Masek
Student in an Organized Health Care Education/Training Program in Vallejo, California
NPI 1093311151

Mary Alexandra Masek is a Student in an Organized Health Care Education/Training Program based in Vallejo, CA. Mary Alexandra Masek practices in Vallejo, CA. The NPI Number for Mary Alexandra Masek is 1093311151 and holds a License No. 174H00000X (California).

The current practice location address for Mary Alexandra Masek is 321 Lighthouse Dr, Vallejo, CA and can be reached out via phone at 714-767-7904.

Location: 321 Lighthouse Dr, Vallejo, CA, 94590-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093311151
Provider Name
Mary Alexandra Masek
Credential
Provider Entity Type
Individual
Gender
Female
Address
321 Lighthouse Dr, Vallejo, CA, 94590-4005
Phone Number
714-767-7904
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
321 Lighthouse Dr
City
Vallejo
State
California
Zip
94590-4005
Phone Number
714-767-7904
Fax Number
person
Provider Business Mailing Address Details
Address
321 Lighthouse Dr
City
Vallejo
State
California
Zip
94590-4005
Phone Number
714-767-7904
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.
174H00000X (California)
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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