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Carly Michele Fidler
Student in an Organized Health Care Education/Training Program in Culver City, California
NPI 1356066963

Carly Michele Fidler is a Student in an Organized Health Care Education/Training Program based in Culver City, CA. Carly Michele Fidler practices in Culver City, CA. The NPI Number for Carly Michele Fidler is 1356066963 and holds a License No. (California).

The current practice location address for Carly Michele Fidler is 9808 Venice Blvd Ste 700, Culver City, CA and can be reached out via phone at 310-945-3350 and via fax at 310-945-3356.

Location: 9808 Venice Blvd Ste 700, Culver City, CA, 90232-6824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356066963
Provider Name
Carly Michele Fidler
Credential
Provider Entity Type
Individual
Gender
Female
Address
9808 Venice Blvd Ste 700, Culver City, CA, 90232-6824
Phone Number
310-945-3350
Fax Number
310-945-3356
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9808 Venice Blvd Ste 700
City
Culver City
State
California
Zip
90232-6824
Phone Number
310-945-3350
Fax Number
310-945-3356
person
Provider Business Mailing Address Details
Address
9808 Venice Blvd Ste 700
City
Culver City
State
California
Zip
90232-6824
Phone Number
310-945-3350
Fax Number
310-945-3356
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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