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Kim Abbegail Tan Aldecoa
Student in an Organized Health Care Education/Training Program in Pontiac, Michigan
NPI 1700517778

Kim Abbegail Tan Aldecoa is a Student in an Organized Health Care Education/Training Program based in Pontiac, MI. Kim Abbegail Tan Aldecoa practices in Pontiac, MI. The NPI Number for Kim Abbegail Tan Aldecoa is 1700517778 and holds a License No. (Michigan).

The current practice location address for Kim Abbegail Tan Aldecoa is St. Joseph Mercy Oakland Hospital,44405 Woodward Avenue, Pontiac, MI and can be reached out via phone at 248-858-6233 and via fax at 248-858-3244.

Location: St. Joseph Mercy Oakland Hospital,44405 Woodward Avenue, Pontiac, MI, 48341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700517778
Provider Name
Kim Abbegail Tan Aldecoa
Credential
Provider Entity Type
Individual
Gender
Female
Address
St. Joseph Mercy Oakland Hospital,44405 Woodward Avenue, Pontiac, MI, 48341
Phone Number
248-858-6233
Fax Number
248-858-3244
Provider Enumeration Date
06/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
St. Joseph Mercy Oakland Hospital,44405 Woodward Avenue
City
Pontiac
State
Michigan
Zip
48341
Phone Number
248-858-6233
Fax Number
248-858-3244
person
Provider Business Mailing Address Details
Address
St. Joseph Mercy Oakland Hospital,44405 Woodward Avenue
City
Pontiac
State
Michigan
Zip
48341
Phone Number
248-858-6233
Fax Number
248-858-3244
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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