person
Idiata Iredia
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1558967349

Idiata Iredia is a Student in an Organized Health Care Education/Training Program based in Saginaw, MI. Idiata Iredia practices in Detroit, MI. The NPI Number for Idiata Iredia is 1558967349 and holds a License No. (Michigan).

The current practice location address for Idiata Iredia is 22101 Moross Rd, Detroit, MI and can be reached out via phone at 313-343-4000.

Location: 22101 Moross Rd, Detroit, MI, 48602
person
Provider Profile Details
NPI Number
1558967349
Provider Name
Idiata Iredia
Credential
Provider Entity Type
Individual
Gender
Female
Address
22101 Moross Rd, Detroit, MI, 48602
Phone Number
313-343-4000
Fax Number
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22101 Moross Rd
City
State
Zip
48236-2148
Phone Number
313-343-4000
Fax Number
person
Provider Business Mailing Address Details
Address
22101 Moross Rd
City
State
Zip
48236-2148
Phone Number
313-343-4000
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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