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Audrey Moreno Medina
Student in an Organized Health Care Education/Training Program in Culver City, California
NPI 1710613161

Audrey Moreno Medina is a Student in an Organized Health Care Education/Training Program based in Culver City, CA. Audrey Moreno Medina practices in Culver City, CA. The NPI Number for Audrey Moreno Medina is 1710613161 and holds a License No. (California).

The current practice location address for Audrey Moreno Medina is 4760 Sepulveda Blvd, Culver City, CA and can be reached out via phone at 310-390-6612.

Location: 4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710613161
Provider Name
Audrey Moreno Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
4760 Sepulveda Blvd, Culver City, CA, 90230-4820
Phone Number
310-390-6612
Fax Number
Provider Enumeration Date
07/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
Fax Number
person
Provider Business Mailing Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230-4820
Phone Number
310-390-6612
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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