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Banchiamlak Kendrix
Student in an Organized Health Care Education/Training Program in Fontana, California
NPI 1790445104

Banchiamlak Kendrix is a Student in an Organized Health Care Education/Training Program based in Fontana, CA. Banchiamlak Kendrix practices in Fontana, CA. The NPI Number for Banchiamlak Kendrix is 1790445104 and holds a License No. (California).

The current practice location address for Banchiamlak Kendrix is 13666 Lighthouse Ct, Fontana, CA and can be reached out via phone at 909-509-2214.

Location: 13666 Lighthouse Ct, Fontana, CA, 92336-3403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790445104
Provider Name
Banchiamlak Kendrix
Credential
Provider Entity Type
Individual
Gender
Female
Address
13666 Lighthouse Ct, Fontana, CA, 92336-3403
Phone Number
909-509-2214
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13666 Lighthouse Ct
City
Fontana
State
California
Zip
92336-3403
Phone Number
909-509-2214
Fax Number
person
Provider Business Mailing Address Details
Address
13666 Lighthouse Ct
City
Fontana
State
California
Zip
92336-3403
Phone Number
909-509-2214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
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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