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Wyatt Pforsich
Student in an Organized Health Care Education/Training Program in Chico, California
NPI 1699298323

Wyatt Pforsich is a Student in an Organized Health Care Education/Training Program based in Chico, CA. Wyatt Pforsich practices in Chico, CA. The NPI Number for Wyatt Pforsich is 1699298323 and holds a License No. (California).

The current practice location address for Wyatt Pforsich is 4038 Augusta Ln, Chico, CA and can be reached out via phone at 530-345-3706.

Location: 4038 Augusta Ln, Chico, CA, 95973-8504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699298323
Provider Name
Wyatt Pforsich
Credential
Provider Entity Type
Individual
Gender
Male
Address
4038 Augusta Ln, Chico, CA, 95973-8504
Phone Number
530-345-3706
Fax Number
Provider Enumeration Date
07/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4038 Augusta Ln
City
Chico
State
California
Zip
95973
Phone Number
530-345-3706
Fax Number
person
Provider Business Mailing Address Details
Address
4038 Augusta Ln
City
Chico
State
California
Zip
95973
Phone Number
530-345-3706
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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