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Evan Spencer
Student in an Organized Health Care Education/Training Program in Valhalla, New York
NPI 1780215012

Evan Spencer is a Student in an Organized Health Care Education/Training Program based in Valhalla, NY. Evan Spencer practices in Valhalla, NY. The NPI Number for Evan Spencer is 1780215012 and holds a License No. (New York).

The current practice location address for Evan Spencer is 100 Woods Rd, Valhalla, NY and can be reached out via phone at 123-345-6789.

Location: 100 Woods Rd, Valhalla, NY, 10595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780215012
Provider Name
Evan Spencer
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Woods Rd, Valhalla, NY, 10595
Phone Number
123-345-6789
Fax Number
Provider Enumeration Date
01/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Woods Rd
City
Valhalla
State
New York
Zip
10595-1530
Phone Number
123-345-6789
Fax Number
person
Provider Business Mailing Address Details
Address
100 Woods Rd
City
Valhalla
State
New York
Zip
10595-1530
Phone Number
123-345-6789
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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