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Miko Fogarty
Student in an Organized Health Care Education/Training Program in Orinda, California
NPI 1326790668

Miko Fogarty is a Student in an Organized Health Care Education/Training Program based in Orinda, CA. Miko Fogarty practices in Orinda, CA. The NPI Number for Miko Fogarty is 1326790668 and holds a License No. (California).

The current practice location address for Miko Fogarty is 134B Ardith Dr, Orinda, CA and can be reached out via phone at 925-255-3017.

Location: 134B Ardith Dr, Orinda, CA, 94563-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326790668
Provider Name
Miko Fogarty
Credential
Provider Entity Type
Individual
Gender
Female
Address
134B Ardith Dr, Orinda, CA, 94563-4202
Phone Number
925-255-3017
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
134B Ardith Dr
City
Orinda
State
California
Zip
94563-4202
Phone Number
925-255-3017
Fax Number
person
Provider Business Mailing Address Details
Address
134B Ardith Dr
City
Orinda
State
California
Zip
94563-4202
Phone Number
925-255-3017
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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