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La Tasha Marie Knighten
Student in an Organized Health Care Education/Training Program in Fairfield, California
NPI 1669186169

La Tasha Marie Knighten is a Student in an Organized Health Care Education/Training Program based in Fairfield, CA. La Tasha Marie Knighten practices in Fairfield, CA. The NPI Number for La Tasha Marie Knighten is 1669186169 and holds a License No. (California).

The current practice location address for La Tasha Marie Knighten is 2460 Clay Bank Rd, Fairfield, CA and can be reached out via phone at 415-690-0347.

Location: 2460 Clay Bank Rd, Fairfield, CA, 94533-1655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669186169
Provider Name
La Tasha Marie Knighten
Credential
Provider Entity Type
Individual
Gender
Female
Address
2460 Clay Bank Rd, Fairfield, CA, 94533-1655
Phone Number
415-690-0347
Fax Number
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2460 Clay Bank Rd
City
Fairfield
State
California
Zip
94533-1655
Phone Number
415-690-0347
Fax Number
person
Provider Business Mailing Address Details
Address
2460 Clay Bank Rd
City
Fairfield
State
California
Zip
94533-1655
Phone Number
415-690-0347
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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