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Primadona Demapendan
Student in an Organized Health Care Education/Training Program in Fairfield, California
NPI 1699082214

Primadona Demapendan is a Student in an Organized Health Care Education/Training Program based in Fairfield, CA. Primadona Demapendan practices in Fairfield, CA. The NPI Number for Primadona Demapendan is 1699082214 and holds a License No. (California).

The current practice location address for Primadona Demapendan is 2101 Courage Dr, Fairfield, CA and can be reached out via phone at 707-784-2061.

Location: 2101 Courage Dr, Fairfield, CA, 94533-6717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699082214
Provider Name
Primadona Demapendan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 Courage Dr, Fairfield, CA, 94533-6717
Phone Number
707-784-2061
Fax Number
Provider Enumeration Date
09/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-784-2061
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-784-2061
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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