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John Selloriquez
Student in an Organized Health Care Education/Training Program in Lake Charles, Louisiana
NPI 1609561505

John Selloriquez is a Student in an Organized Health Care Education/Training Program based in Lake Charles, LA. John Selloriquez practices in Lake Charles, LA. The NPI Number for John Selloriquez is 1609561505 and holds a License No. (Louisiana).

The current practice location address for John Selloriquez is 1525 Oak Park Blvd, Lake Charles, LA and can be reached out via phone at 318-393-9301.

Location: 1525 Oak Park Blvd, Lake Charles, LA, 70601-8849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609561505
Provider Name
John Selloriquez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1525 Oak Park Blvd, Lake Charles, LA, 70601-8849
Phone Number
318-393-9301
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1525 Oak Park Blvd
City
Lake Charles
State
Louisiana
Zip
70601-8849
Phone Number
318-393-9301
Fax Number
person
Provider Business Mailing Address Details
Address
1525 Oak Park Blvd
City
Lake Charles
State
Louisiana
Zip
70601-8849
Phone Number
318-393-9301
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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