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Deandre M Powell
Student in an Organized Health Care Education/Training Program in Benicia, California
NPI 1124690094

Deandre M Powell is a Student in an Organized Health Care Education/Training Program based in Benicia, CA. Deandre M Powell practices in Benicia, CA. The NPI Number for Deandre M Powell is 1124690094 and holds a License No. (California).

The current practice location address for Deandre M Powell is 91 Riverview Ter Apt 137, Benicia, CA and can be reached out via phone at 707-208-0740.

Location: 91 Riverview Ter Apt 137, Benicia, CA, 94510-2764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124690094
Provider Name
Deandre M Powell
Credential
Provider Entity Type
Individual
Gender
Male
Address
91 Riverview Ter Apt 137, Benicia, CA, 94510-2764
Phone Number
707-208-0740
Fax Number
Provider Enumeration Date
07/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
91 Riverview Ter Apt 137
City
Benicia
State
California
Zip
94510-2764
Phone Number
707-208-0740
Fax Number
person
Provider Business Mailing Address Details
Address
91 Riverview Ter Apt 137
City
Benicia
State
California
Zip
94510-2764
Phone Number
707-208-0740
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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