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Van-dai Ly, MD
Student in an Organized Health Care Education/Training Program in Ukiah, California
NPI 1447010137

Van-dai Ly is a Student in an Organized Health Care Education/Training Program based in Ukiah, CA. Van-dai Ly practices in Ukiah, CA and has the professional credentials of MD. The NPI Number for Van-dai Ly is 1447010137 and holds a License No. (California).

The current practice location address for Van-dai Ly is 260 Hospital Dr Ste 103, Ukiah, CA and can be reached out via phone at 707-467-3123.

Location: 260 Hospital Dr Ste 103, Ukiah, CA, 95482-4533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447010137
Provider Name
Van-dai Ly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
260 Hospital Dr Ste 103, Ukiah, CA, 95482-4533
Phone Number
707-467-3123
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
260 Hospital Dr Ste 103
City
Ukiah
State
California
Zip
95482-4568
Phone Number
707-467-3123
Fax Number
person
Provider Business Mailing Address Details
Address
260 Hospital Dr Ste 103
City
Ukiah
State
California
Zip
95482-4568
Phone Number
707-467-3123
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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