person
Caden Johnson
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1104506567

Caden Johnson is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Caden Johnson practices in Pocatello, ID. The NPI Number for Caden Johnson is 1104506567 and holds a License No. (Idaho).

The current practice location address for Caden Johnson is 921 S 8Th Ave Stop 8253, Pocatello, ID and can be reached out via phone at 472-620-8282.

Location: 921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
person
Provider Profile Details
NPI Number
1104506567
Provider Name
Caden Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
Phone Number
472-620-8282
Fax Number
Provider Enumeration Date
07/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
472-620-8282
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
472-620-8282
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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