person
Keily Maya Tomchak
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1689302911

Keily Maya Tomchak is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Keily Maya Tomchak practices in Pocatello, ID. The NPI Number for Keily Maya Tomchak is 1689302911 and holds a License No. (Idaho).

The current practice location address for Keily Maya Tomchak is 921 S 8Th Ave Stop 8253, Pocatello, ID and can be reached out via phone at 208-282-4726. You can also correspond with Keily Maya Tomchak through the mailing address at 921 SOUTH 8TH AVENUE STOP 8253, POCATELLO, ID - 83209 (mailing address contact number: 208-282-4726).

Location: 921 S 8Th Ave Stop 8253, Pocatello, ID, 83209
person
Provider Profile Details
NPI Number
1689302911
Provider Name
Keily Maya Tomchak
Credential
Provider Entity Type
Individual
Gender
Female
Address
921 S 8Th Ave Stop 8253, Pocatello, ID, 83209
Phone Number
208-282-4726
Fax Number
Provider Enumeration Date
08/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Ave Stop 8253
City
State
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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