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Dr. Joanna Iris Avena Depasupil, MD
Student in an Organized Health Care Education/Training Program in Derry, New Hampshire
NPI 1760060909

Joanna Iris Avena Depasupil is a Student in an Organized Health Care Education/Training Program based in Derry, NH. Joanna Iris Avena Depasupil practices in Derry, NH and has the professional credentials of MD. The NPI Number for Joanna Iris Avena Depasupil is 1760060909 and holds a License No. (New Hampshire).

The current practice location address for Joanna Iris Avena Depasupil is 3 Forest Ridge Rd Apt 233, Derry, NH and can be reached out via phone at 603-553-6753. You can also correspond with Joanna Iris Avena Depasupil through the mailing address at 3 FOREST RIDGE RD APT 233, DERRY, NH - 03038-6126 (mailing address contact number: 603-553-6753).

Location: 3 Forest Ridge Rd Apt 233, Derry, NH, 03038-6126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760060909
Provider Name
Joanna Iris Avena Depasupil
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3 Forest Ridge Rd Apt 233, Derry, NH, 03038-6126
Phone Number
603-553-6753
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Forest Ridge Rd Apt 233
City
Derry
State
New Hampshire
Zip
03038-6126
Phone Number
603-553-6753
Fax Number
person
Provider Business Mailing Address Details
Address
3 Forest Ridge Rd Apt 233
City
Derry
State
New Hampshire
Zip
03038-6126
Phone Number
603-553-6753
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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