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Micah Gregory Kai Ohlen, ATC
Student in an Organized Health Care Education/Training Program in San Juan Capistrano, California
NPI 1710424833

Micah Gregory Kai Ohlen is a Student in an Organized Health Care Education/Training Program based in San Juan Capistrano, CA. Micah Gregory Kai Ohlen practices in San Juan Capistrano, CA and has the professional credentials of ATC. The NPI Number for Micah Gregory Kai Ohlen is 1710424833 and holds a License No. 2000015732 (California).

The current practice location address for Micah Gregory Kai Ohlen is 29211 Stallion Rdg, San Juan Capistrano, CA and can be reached out via phone at 805-331-6009.

Location: 29211 Stallion Rdg, San Juan Capistrano, CA, 92675-3602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710424833
Provider Name
Micah Gregory Kai Ohlen
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
29211 Stallion Rdg, San Juan Capistrano, CA, 92675-3602
Phone Number
805-331-6009
Fax Number
Provider Enumeration Date
01/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29211 Stallion Rdg
City
San Juan Capistrano
State
California
Zip
92675-3602
Phone Number
805-331-6009
Fax Number
person
Provider Business Mailing Address Details
Address
29211 Stallion Rdg
City
San Juan Capistrano
State
California
Zip
92675-3602
Phone Number
805-331-6009
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.
2000015732 (California)
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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