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Olivia Cushing
Student in an Organized Health Care Education/Training Program in South Lake Tahoe, California
NPI 1154082121

Olivia Cushing is a Student in an Organized Health Care Education/Training Program based in South Lake Tahoe, CA. Olivia Cushing practices in South Lake Tahoe, CA. The NPI Number for Olivia Cushing is 1154082121 and holds a License No. (California).

The current practice location address for Olivia Cushing is 1114 Modoc Way, South Lake Tahoe, CA and can be reached out via phone at 603-991-8572.

Location: 1114 Modoc Way, South Lake Tahoe, CA, 96150-5248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154082121
Provider Name
Olivia Cushing
Credential
Provider Entity Type
Individual
Gender
Female
Address
1114 Modoc Way, South Lake Tahoe, CA, 96150-5248
Phone Number
603-991-8572
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1114 Modoc Way
City
South Lake Tahoe
State
California
Zip
96150-5248
Phone Number
603-991-8572
Fax Number
person
Provider Business Mailing Address Details
Address
1114 Modoc Way
City
South Lake Tahoe
State
California
Zip
96150-5248
Phone Number
603-991-8572
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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