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Mary Van Pelt
Student in an Organized Health Care Education/Training Program in Lakewood, California
NPI 1588350599

Mary Van Pelt is a Student in an Organized Health Care Education/Training Program based in Lakewood, CA. Mary Van Pelt practices in Lakewood, CA. The NPI Number for Mary Van Pelt is 1588350599 and holds a License No. (California).

The current practice location address for Mary Van Pelt is 3126 Silva St, Lakewood, CA and can be reached out via phone at 562-704-0889.

Location: 3126 Silva St, Lakewood, CA, 90712-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588350599
Provider Name
Mary Van Pelt
Credential
Provider Entity Type
Individual
Gender
Female
Address
3126 Silva St, Lakewood, CA, 90712-3012
Phone Number
562-704-0889
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3126 Silva St
City
Lakewood
State
California
Zip
90712-3012
Phone Number
562-704-0889
Fax Number
person
Provider Business Mailing Address Details
Address
3126 Silva St
City
Lakewood
State
California
Zip
90712-3012
Phone Number
562-704-0889
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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