person
Alexa Pronga
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1487234902

Alexa Pronga is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Alexa Pronga practices in Peoria, IL. The NPI Number for Alexa Pronga is 1487234902 and holds a License No. (Illinois).

The current practice location address for Alexa Pronga is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-495-1640.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61602-5027
person
Provider Profile Details
NPI Number
1487234902
Provider Name
Alexa Pronga
Credential
Provider Entity Type
Individual
Gender
Female
Address
221 Ne Glen Oak Ave, Peoria, IL, 61602-5027
Phone Number
309-495-1640
Fax Number
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
State
Zip
61636-0001
Phone Number
309-495-1640
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
State
Zip
61636-0001
Phone Number
309-495-1640
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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