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Courtney Derek White
Student in an Organized Health Care Education/Training Program in Pasadena, California
NPI 1306454277

Courtney Derek White is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Courtney Derek White practices in Pasadena, CA. The NPI Number for Courtney Derek White is 1306454277 and holds a License No. (California).

The current practice location address for Courtney Derek White is 66 Hurlbut St, Pasadena, CA and can be reached out via phone at 626-441-4221.

Location: 66 Hurlbut St, Pasadena, CA, 91105-4025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306454277
Provider Name
Courtney Derek White
Credential
Provider Entity Type
Individual
Gender
Male
Address
66 Hurlbut St, Pasadena, CA, 91105-4025
Phone Number
626-441-4221
Fax Number
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
66 Hurlbut St
City
Pasadena
State
California
Zip
91105-4025
Phone Number
626-441-4221
Fax Number
person
Provider Business Mailing Address Details
Address
66 Hurlbut St
City
Pasadena
State
California
Zip
91105-4025
Phone Number
626-441-4221
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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