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Ivan Vigoa
Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona
NPI 1104514827

Ivan Vigoa is a Student in an Organized Health Care Education/Training Program based in Fort Myers, AZ. Ivan Vigoa practices in Flagstaff, AZ. The NPI Number for Ivan Vigoa is 1104514827 and holds a License No. (Arizona).

The current practice location address for Ivan Vigoa is 2920 N 4Th St, Flagstaff, AZ and can be reached out via phone at 928-522-9400. You can also correspond with Ivan Vigoa through the mailing address at 7520 OMNI LN APT 301, FORT MYERS, FL - 33905-5477 (mailing address contact number: 813-400-6742).

Location: 2920 N 4Th St, Flagstaff, AZ, 33905-5477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104514827
Provider Name
Ivan Vigoa
Credential
Provider Entity Type
Individual
Gender
Male
Address
2920 N 4Th St, Flagstaff, AZ, 33905-5477
Phone Number
928-522-9400
Fax Number
Provider Enumeration Date
05/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2920 N 4Th St
City
Flagstaff
State
Arizona
Zip
86004-1816
Phone Number
928-522-9400
Fax Number
person
Provider Business Mailing Address Details
Address
2920 N 4Th St
City
Flagstaff
State
Arizona
Zip
86004-1816
Phone Number
928-522-9400
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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