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Sumana Mahata
Student in an Organized Health Care Education/Training Program in Moreno Valley, California
NPI 1235834904

Sumana Mahata is a Student in an Organized Health Care Education/Training Program based in Moreno Valley, CA. Sumana Mahata practices in Moreno Valley, CA. The NPI Number for Sumana Mahata is 1235834904 and holds a License No. (California).

The current practice location address for Sumana Mahata is 26520 Cactus Ave Rm Ms 2117, Moreno Valley, CA and can be reached out via phone at 951-486-4753 and via fax at 951-486-4560.

Location: 26520 Cactus Ave Rm Ms 2117, Moreno Valley, CA, 92555-3927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235834904
Provider Name
Sumana Mahata
Credential
Provider Entity Type
Individual
Gender
Female
Address
26520 Cactus Ave Rm Ms 2117, Moreno Valley, CA, 92555-3927
Phone Number
951-486-4753
Fax Number
951-486-4560
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26520 Cactus Ave Rm Ms 2117
City
Moreno Valley
State
California
Zip
92555-3927
Phone Number
951-486-4753
Fax Number
951-486-4560
person
Provider Business Mailing Address Details
Address
26520 Cactus Ave Rm Ms 2117
City
Moreno Valley
State
California
Zip
92555-3927
Phone Number
951-486-4753
Fax Number
951-486-4560
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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