person
Manya Bohannon
Student in an Organized Health Care Education/Training Program in San Dimas, California
NPI 1366715336

Manya Bohannon is a Student in an Organized Health Care Education/Training Program based in San Dimas, CA. Manya Bohannon practices in San Dimas, CA. The NPI Number for Manya Bohannon is 1366715336 and holds a License No. (California).

The current practice location address for Manya Bohannon is 762 Cypress St, San Dimas, CA and can be reached out via phone at 909-599-1227.

Location: 762 Cypress St, San Dimas, CA, 91773-3505
person
Provider Profile Details
NPI Number
1366715336
Provider Name
Manya Bohannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
762 Cypress St, San Dimas, CA, 91773-3505
Phone Number
909-599-1227
Fax Number
Provider Enumeration Date
02/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
762 Cypress St
City
State
Zip
91773-3505
Phone Number
909-599-1227
Fax Number
person
Provider Business Mailing Address Details
Address
762 Cypress St
City
State
Zip
91773-3505
Phone Number
909-599-1227
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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