person
San Raban
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1104693191

San Raban is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. San Raban practices in Phoenix, AZ. The NPI Number for San Raban is 1104693191 and holds a License No. (Arizona).

The current practice location address for San Raban is 1439 E Wahalla Ln, Phoenix, AZ and can be reached out via phone at 480-684-0926.

Location: 1439 E Wahalla Ln, Phoenix, AZ, 85024-3659
person
Provider Profile Details
NPI Number
1104693191
Provider Name
San Raban
Credential
Provider Entity Type
Individual
Gender
Male
Address
1439 E Wahalla Ln, Phoenix, AZ, 85024-3659
Phone Number
480-684-0926
Fax Number
Provider Enumeration Date
12/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1439 E Wahalla Ln
City
State
Zip
85024-3659
Phone Number
480-684-0926
Fax Number
person
Provider Business Mailing Address Details
Address
1439 E Wahalla Ln
City
State
Zip
85024-3659
Phone Number
480-684-0926
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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