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Christian Talla
Student in an Organized Health Care Education/Training Program in Takoma Park, Maryland
NPI 1285045740

Christian Talla is a Student in an Organized Health Care Education/Training Program based in Takoma Park, MD. Christian Talla practices in Takoma Park, MD. The NPI Number for Christian Talla is 1285045740 and holds a License No. IN00003758 (Maryland).

The current practice location address for Christian Talla is 790 Fairview Ave, Takoma Park, MD and can be reached out via phone at 240-271-6588.

Location: 790 Fairview Ave, Takoma Park, MD, 20912-5979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285045740
Provider Name
Christian Talla
Credential
Provider Entity Type
Individual
Gender
Male
Address
790 Fairview Ave, Takoma Park, MD, 20912-5979
Phone Number
240-271-6588
Fax Number
Provider Enumeration Date
05/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
790 Fairview Ave
City
Takoma Park
State
Maryland
Zip
20912-5979
Phone Number
240-271-6588
Fax Number
person
Provider Business Mailing Address Details
Address
790 Fairview Ave
City
Takoma Park
State
Maryland
Zip
20912-5979
Phone Number
240-271-6588
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.
IN00003758 (New Mexico)
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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