person
Alyssa Grace Park
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1790363307

Alyssa Grace Park is a Student in an Organized Health Care Education/Training Program based in Loma Linda, CA. Alyssa Grace Park practices in Loma Linda, CA. The NPI Number for Alyssa Grace Park is 1790363307 and holds a License No. (California).

The current practice location address for Alyssa Grace Park is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-4015.

Location: 11234 Anderson St, Loma Linda, CA, 92354
person
Provider Profile Details
NPI Number
1790363307
Provider Name
Alyssa Grace Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
11234 Anderson St, Loma Linda, CA, 92354
Phone Number
909-558-4015
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
State
Zip
92354-2804
Phone Number
909-558-4015
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
State
Zip
92354-2804
Phone Number
909-558-4015
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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