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Ilana Blythe Holt
Student in an Organized Health Care Education/Training Program in Santa Cruz, California
NPI 1730750456

Ilana Blythe Holt is a Student in an Organized Health Care Education/Training Program based in Santa Cruz, CA. Ilana Blythe Holt practices in Santa Cruz, CA. The NPI Number for Ilana Blythe Holt is 1730750456 and holds a License No. (California).

The current practice location address for Ilana Blythe Holt is 621 14Th Ave, Santa Cruz, CA and can be reached out via phone at 408-393-2225.

Location: 621 14Th Ave, Santa Cruz, CA, 95062-4059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730750456
Provider Name
Ilana Blythe Holt
Credential
Provider Entity Type
Individual
Gender
Female
Address
621 14Th Ave, Santa Cruz, CA, 95062-4059
Phone Number
408-393-2225
Fax Number
Provider Enumeration Date
07/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 14Th Ave
City
Santa Cruz
State
California
Zip
95062-4059
Phone Number
408-393-2225
Fax Number
person
Provider Business Mailing Address Details
Address
621 14Th Ave
City
Santa Cruz
State
California
Zip
95062-4059
Phone Number
408-393-2225
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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