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Nizar Dergham
Student in an Organized Health Care Education/Training Program in Chardon, Ohio
NPI 1356043236

Nizar Dergham is a Student in an Organized Health Care Education/Training Program based in Chardon, OH. Nizar Dergham practices in Chardon, OH. The NPI Number for Nizar Dergham is 1356043236 and holds a License No. (Ohio).

The current practice location address for Nizar Dergham is 13207 Ravenna Rd, Chardon, OH and can be reached out via phone at 440-570-0956. You can also correspond with Nizar Dergham through the mailing address at 13207 RAVENNA RD, CHARDON, OH - 44024-7032 (mailing address contact number: ).

Location: 13207 Ravenna Rd, Chardon, OH, 44024-7032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356043236
Provider Name
Nizar Dergham
Credential
Provider Entity Type
Individual
Gender
Male
Address
13207 Ravenna Rd, Chardon, OH, 44024-7032
Phone Number
440-570-0956
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13207 Ravenna Rd
City
Chardon
State
Ohio
Zip
44024-7032
Phone Number
440-570-0956
Fax Number
person
Provider Business Mailing Address Details
Address
13207 Ravenna Rd
City
Chardon
State
Ohio
Zip
44024-7032
Phone Number
440-570-0956
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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