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Demetri Eugene Probst
Student in an Organized Health Care Education/Training Program in Renovo, Pennsylvania
NPI 1366056301

Demetri Eugene Probst is a Student in an Organized Health Care Education/Training Program based in Renovo, PA. Demetri Eugene Probst practices in Renovo, PA. The NPI Number for Demetri Eugene Probst is 1366056301 and holds a License No. (Pennsylvania).

The current practice location address for Demetri Eugene Probst is 248 Susquehanna Ave, Renovo, PA and can be reached out via phone at 570-786-7751.

Location: 248 Susquehanna Ave, Renovo, PA, 17764-1523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366056301
Provider Name
Demetri Eugene Probst
Credential
Provider Entity Type
Individual
Gender
Male
Address
248 Susquehanna Ave, Renovo, PA, 17764-1523
Phone Number
570-786-7751
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
248 Susquehanna Ave
City
Renovo
State
Pennsylvania
Zip
17764-1523
Phone Number
570-786-7751
Fax Number
person
Provider Business Mailing Address Details
Address
248 Susquehanna Ave
City
Renovo
State
Pennsylvania
Zip
17764-1523
Phone Number
570-786-7751
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.
(Pennsylvania)
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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