person
Mr. Mickey Rj Marvelle, CASI
Student in an Organized Health Care Education/Training Program in Sacramento, California
NPI 1396985495

Mickey Rj Marvelle is a Student in an Organized Health Care Education/Training Program based in Sacramento, CA. Mickey Rj Marvelle practices in Sacramento, CA and has the professional credentials of CASI. The NPI Number for Mickey Rj Marvelle is 1396985495 and holds a License No. (California).

The current practice location address for Mickey Rj Marvelle is 1550 Juliesse Ave, Sacramento, CA and can be reached out via phone at 916-609-4815 and via fax at 916-921-6604.

Location: 1550 Juliesse Ave, Sacramento, CA, 95815-1803
person
Provider Profile Details
NPI Number
1396985495
Provider Name
Mickey Rj Marvelle
Credential
CASI
Provider Entity Type
Individual
Gender
Male
Address
1550 Juliesse Ave, Sacramento, CA, 95815-1803
Phone Number
916-609-4815
Fax Number
916-921-6604
Provider Enumeration Date
03/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8029 01 CA COUSELOR
institution
Provider Business Practice Location Address Details
Address
1550 Juliesse Ave
City
State
Zip
95815-1803
Phone Number
916-609-4815
Fax Number
916-921-6604
person
Provider Business Mailing Address Details
Address
1550 Juliesse Ave
City
State
Zip
95815-1803
Phone Number
916-609-4815
Fax Number
916-921-6604
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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