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Michael David Modzelewski
Student in an Organized Health Care Education/Training Program in Pasadena, California
NPI 1528681715

Michael David Modzelewski is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Michael David Modzelewski practices in Pasadena, CA. The NPI Number for Michael David Modzelewski is 1528681715 and holds a License No. (California).

The current practice location address for Michael David Modzelewski is 98 S Los Robles Ave, Pasadena, CA and can be reached out via phone at 888-576-3348.

Location: 98 S Los Robles Ave, Pasadena, CA, 91101-2433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528681715
Provider Name
Michael David Modzelewski
Credential
Provider Entity Type
Individual
Gender
Male
Address
98 S Los Robles Ave, Pasadena, CA, 91101-2433
Phone Number
888-576-3348
Fax Number
Provider Enumeration Date
05/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
98 S Los Robles Ave
City
Pasadena
State
California
Zip
91101-2433
Phone Number
888-576-3348
Fax Number
person
Provider Business Mailing Address Details
Address
98 S Los Robles Ave
City
Pasadena
State
California
Zip
91101-2433
Phone Number
888-576-3348
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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