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Michelle Marie Reardon
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1215603097

Michelle Marie Reardon is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Michelle Marie Reardon practices in Santa Rosa, CA. The NPI Number for Michelle Marie Reardon is 1215603097 and holds a License No. (California).

The current practice location address for Michelle Marie Reardon is 2447 Summerfield Rd, Santa Rosa, CA and can be reached out via phone at 707-544-3299.

Location: 2447 Summerfield Rd, Santa Rosa, CA, 95404-8558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215603097
Provider Name
Michelle Marie Reardon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2447 Summerfield Rd, Santa Rosa, CA, 95404-8558
Phone Number
707-544-3299
Fax Number
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2447 Summerfield Rd
City
Santa Rosa
State
California
Zip
95405-7815
Phone Number
707-544-3299
Fax Number
person
Provider Business Mailing Address Details
Address
2447 Summerfield Rd
City
Santa Rosa
State
California
Zip
95405-7815
Phone Number
707-544-3299
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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