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Maida Fazlic
Student in an Organized Health Care Education/Training Program in Blaine, Minnesota
NPI 1669157293

Maida Fazlic is a Student in an Organized Health Care Education/Training Program based in Blaine, MN. Maida Fazlic practices in Blaine, MN. The NPI Number for Maida Fazlic is 1669157293 and holds a License No. (Minnesota).

The current practice location address for Maida Fazlic is 34 92Nd Ln Ne, Blaine, MN and can be reached out via phone at 651-278-0762.

Location: 34 92Nd Ln Ne, Blaine, MN, 55434-1217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669157293
Provider Name
Maida Fazlic
Credential
Provider Entity Type
Individual
Gender
Female
Address
34 92Nd Ln Ne, Blaine, MN, 55434-1217
Phone Number
651-278-0762
Fax Number
Provider Enumeration Date
06/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 92Nd Ln Ne
City
Blaine
State
Minnesota
Zip
55434-1217
Phone Number
651-278-0762
Fax Number
person
Provider Business Mailing Address Details
Address
34 92Nd Ln Ne
City
Blaine
State
Minnesota
Zip
55434-1217
Phone Number
651-278-0762
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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