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Amber Micah Blor Padilla
Student in an Organized Health Care Education/Training Program in Fairfax, Virginia
NPI 1275129652

Amber Micah Blor Padilla is a Student in an Organized Health Care Education/Training Program based in Fairfax, VA. Amber Micah Blor Padilla practices in Fairfax, VA. The NPI Number for Amber Micah Blor Padilla is 1275129652 and holds a License No. (Virginia).

The current practice location address for Amber Micah Blor Padilla is 4128 Roberts Rd, Fairfax, VA and can be reached out via phone at 240-291-5816.

Location: 4128 Roberts Rd, Fairfax, VA, 22032-1045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275129652
Provider Name
Amber Micah Blor Padilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
4128 Roberts Rd, Fairfax, VA, 22032-1045
Phone Number
240-291-5816
Fax Number
Provider Enumeration Date
12/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4128 Roberts Rd
City
Fairfax
State
Virginia
Zip
22032-1045
Phone Number
240-291-5816
Fax Number
person
Provider Business Mailing Address Details
Address
4128 Roberts Rd
City
Fairfax
State
Virginia
Zip
22032-1045
Phone Number
240-291-5816
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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