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Ms. Madison Edwards
Student in an Organized Health Care Education/Training Program in Camarillo, California
NPI 1396312823

Madison Edwards is a Student in an Organized Health Care Education/Training Program based in Agoura Hills, CA. Madison Edwards practices in Camarillo, CA. The NPI Number for Madison Edwards is 1396312823 and holds a License No. (California).

The current practice location address for Madison Edwards is 1722 S Lewis Rd, Camarillo, CA and can be reached out via phone at 805-366-4040.

Location: 1722 S Lewis Rd, Camarillo, CA, 91301-5322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396312823
Provider Name
Madison Edwards
Credential
Provider Entity Type
Individual
Gender
Female
Address
1722 S Lewis Rd, Camarillo, CA, 91301-5322
Phone Number
805-366-4040
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SIF247A51595 01 CA ANTHEM
institution
Provider Business Practice Location Address Details
Address
1722 S Lewis Rd
City
Camarillo
State
California
Zip
93012-8520
Phone Number
805-366-4040
Fax Number
person
Provider Business Mailing Address Details
Address
1722 S Lewis Rd
City
Camarillo
State
California
Zip
93012-8520
Phone Number
805-366-4040
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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