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Mario Alberto Avalos Rebollar
Student in an Organized Health Care Education/Training Program in Santa Ana, California
NPI 1134777972

Mario Alberto Avalos Rebollar is a Student in an Organized Health Care Education/Training Program based in Santa Ana, CA. Mario Alberto Avalos Rebollar practices in Santa Ana, CA. The NPI Number for Mario Alberto Avalos Rebollar is 1134777972 and holds a License No. INT44618 (California).

The current practice location address for Mario Alberto Avalos Rebollar is 2718 W Anahurst Pl, Santa Ana, CA and can be reached out via phone at 714-264-2974.

Location: 2718 W Anahurst Pl, Santa Ana, CA, 92704-4506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134777972
Provider Name
Mario Alberto Avalos Rebollar
Credential
Provider Entity Type
Individual
Gender
Male
Address
2718 W Anahurst Pl, Santa Ana, CA, 92704-4506
Phone Number
714-264-2974
Fax Number
Provider Enumeration Date
08/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2718 W Anahurst Pl
City
Santa Ana
State
California
Zip
92704-4506
Phone Number
714-264-2974
Fax Number
person
Provider Business Mailing Address Details
Address
2718 W Anahurst Pl
City
Santa Ana
State
California
Zip
92704-4506
Phone Number
714-264-2974
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.
INT44618 (California)
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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