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Leland Paul Black
Student in an Organized Health Care Education/Training Program in Rancho Mirage, California
NPI 1275279952

Leland Paul Black is a Student in an Organized Health Care Education/Training Program based in Rancho Mirage, CA. Leland Paul Black practices in Rancho Mirage, CA. The NPI Number for Leland Paul Black is 1275279952 and holds a License No. (California).

The current practice location address for Leland Paul Black is 39000 Bob Hope Drive, Rancho Mirage, CA and can be reached out via phone at 760-941-9357.

Location: 39000 Bob Hope Drive, Rancho Mirage, CA, 92270-3221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275279952
Provider Name
Leland Paul Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
39000 Bob Hope Drive, Rancho Mirage, CA, 92270-3221
Phone Number
760-941-9357
Fax Number
Provider Enumeration Date
05/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
39000 Bob Hope Drive
City
Rancho Mirage
State
California
Zip
92270
Phone Number
760-941-9357
Fax Number
person
Provider Business Mailing Address Details
Address
39000 Bob Hope Drive
City
Rancho Mirage
State
California
Zip
92270
Phone Number
760-941-9357
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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