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Samuel August Trillo, INTERN
Student in an Organized Health Care Education/Training Program in Crestline, California
NPI 1205573433

Samuel August Trillo is a Student in an Organized Health Care Education/Training Program based in San Bernardino, CA. Samuel August Trillo practices in Crestline, CA and has the professional credentials of INTERN. The NPI Number for Samuel August Trillo is 1205573433 and holds a License No. (California).

The current practice location address for Samuel August Trillo is 23406 Crestforest Dr, Crestline, CA and can be reached out via phone at 909-338-4689.

Location: 23406 Crestforest Dr, Crestline, CA, 92405-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205573433
Provider Name
Samuel August Trillo
Credential
INTERN
Provider Entity Type
Individual
Gender
Male
Address
23406 Crestforest Dr, Crestline, CA, 92405-4405
Phone Number
909-338-4689
Fax Number
Provider Enumeration Date
05/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23406 Crestforest Dr
City
Crestline
State
California
Zip
92325
Phone Number
909-338-4689
Fax Number
person
Provider Business Mailing Address Details
Address
23406 Crestforest Dr
City
Crestline
State
California
Zip
92325
Phone Number
909-338-4689
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.
(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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