person
Landon Deru, ATC-L
Student in an Organized Health Care Education/Training Program in Ogden, Utah
NPI 1346511532

Landon Deru is a Student in an Organized Health Care Education/Training Program based in Ogden, UT. Landon Deru practices in Ogden, UT and has the professional credentials of ATC-L. The NPI Number for Landon Deru is 1346511532 and holds a License No. (Utah).

The current practice location address for Landon Deru is 3730 Brinker Ave, Ogden, UT and can be reached out via phone at 801-928-3213.

Location: 3730 Brinker Ave, Ogden, UT, 84403-2019
person
Provider Profile Details
NPI Number
1346511532
Provider Name
Landon Deru
Credential
ATC-L
Provider Entity Type
Individual
Gender
Male
Address
3730 Brinker Ave, Ogden, UT, 84403-2019
Phone Number
801-928-3213
Fax Number
Provider Enumeration Date
01/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3730 Brinker Ave
City
State
Zip
84403-2019
Phone Number
801-928-3213
Fax Number
person
Provider Business Mailing Address Details
Address
3730 Brinker Ave
City
State
Zip
84403-2019
Phone Number
801-928-3213
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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