person
Corey Brisseau
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1194413039

Corey Brisseau is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Corey Brisseau practices in Philadelphia, PA. The NPI Number for Corey Brisseau is 1194413039 and holds a License No. (Pennsylvania).

The current practice location address for Corey Brisseau is 5124 Arbor St, Philadelphia, PA and can be reached out via phone at 215-287-3818.

Location: 5124 Arbor St, Philadelphia, PA, 19120-3602
person
Provider Profile Details
NPI Number
1194413039
Provider Name
Corey Brisseau
Credential
Provider Entity Type
Individual
Gender
Male
Address
5124 Arbor St, Philadelphia, PA, 19120-3602
Phone Number
215-287-3818
Fax Number
Provider Enumeration Date
04/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5124 Arbor St
City
State
Zip
19120-3602
Phone Number
215-287-3818
Fax Number
person
Provider Business Mailing Address Details
Address
5124 Arbor St
City
State
Zip
19120-3602
Phone Number
215-287-3818
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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