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Dassaev Vigil
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1184374373

Dassaev Vigil is a Student in an Organized Health Care Education/Training Program based in Moreno Valley, CA. Dassaev Vigil practices in Orange, CA. The NPI Number for Dassaev Vigil is 1184374373 and holds a License No. (California).

The current practice location address for Dassaev Vigil is 101 The City Dr S Ste 400, Orange, CA and can be reached out via phone at 714-456-5691.

Location: 101 The City Dr S Ste 400, Orange, CA, 92553-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184374373
Provider Name
Dassaev Vigil
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 The City Dr S Ste 400, Orange, CA, 92553-3444
Phone Number
714-456-5691
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 The City Dr S Ste 400
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-5691
Fax Number
person
Provider Business Mailing Address Details
Address
101 The City Dr S Ste 400
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-5691
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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