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Michelle Anna Detka
Student in an Organized Health Care Education/Training Program in Buckeye, Arizona
NPI 1669077152

Michelle Anna Detka is a Student in an Organized Health Care Education/Training Program based in Buckeye, AZ. Michelle Anna Detka practices in Buckeye, AZ. The NPI Number for Michelle Anna Detka is 1669077152 and holds a License No. (Arizona).

The current practice location address for Michelle Anna Detka is 25556 W Crown King Rd, Buckeye, AZ and can be reached out via phone at 347-756-2794. You can also correspond with Michelle Anna Detka through the mailing address at 25556 W CROWN KING RD, BUCKEYE, AZ - 85326-9139 (mailing address contact number: 347-756-2794).

Location: 25556 W Crown King Rd, Buckeye, AZ, 85326-9139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669077152
Provider Name
Michelle Anna Detka
Credential
Provider Entity Type
Individual
Gender
Female
Address
25556 W Crown King Rd, Buckeye, AZ, 85326-9139
Phone Number
347-756-2794
Fax Number
Provider Enumeration Date
12/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25556 W Crown King Rd
City
Buckeye
State
Arizona
Zip
85326-9139
Phone Number
347-756-2794
Fax Number
person
Provider Business Mailing Address Details
Address
25556 W Crown King Rd
City
Buckeye
State
Arizona
Zip
85326-9139
Phone Number
347-756-2794
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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