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Susan Siraco
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1104575471

Susan Siraco is a Student in an Organized Health Care Education/Training Program based in Orange, CA. Susan Siraco practices in Orange, CA. The NPI Number for Susan Siraco is 1104575471 and holds a License No. (California).

The current practice location address for Susan Siraco is 101 The City Dr S, Orange, CA and can be reached out via phone at 714-456-8116.

Location: 101 The City Dr S, Orange, CA, 92868-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104575471
Provider Name
Susan Siraco
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 The City Dr S, Orange, CA, 92868-3201
Phone Number
714-456-8116
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9999999 01 EMPLOYEE ID
institution
Provider Business Practice Location Address Details
Address
101 The City Dr S
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-8116
Fax Number
person
Provider Business Mailing Address Details
Address
101 The City Dr S
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-8116
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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