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Victoria Soewarna
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1104686278

Victoria Soewarna is a Student in an Organized Health Care Education/Training Program based in Holland, NC. Victoria Soewarna practices in Charlotte, NC. The NPI Number for Victoria Soewarna is 1104686278 and holds a License No. (North Carolina).

The current practice location address for Victoria Soewarna is 1000 Blythe Blvd, Charlotte, NC and can be reached out via phone at 704-355-3181 and via fax at 704-355-7047. You can also correspond with Victoria Soewarna through the mailing address at 7255 NIGHTINGALE DR APT 8, HOLLAND, OH - 43528-9351 (mailing address contact number: 440-371-8484).

Location: 1000 Blythe Blvd, Charlotte, NC, 43528-9351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104686278
Provider Name
Victoria Soewarna
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 Blythe Blvd, Charlotte, NC, 43528-9351
Phone Number
704-355-3181
Fax Number
704-355-7047
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-3181
Fax Number
704-355-7047
person
Provider Business Mailing Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-3181
Fax Number
704-355-7047
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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