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Mark Enselman, PA-S
Student in an Organized Health Care Education/Training Program in Fullerton, California
NPI 1821649591

Mark Enselman is a Student in an Organized Health Care Education/Training Program based in Fullerton, CA. Mark Enselman practices in Fullerton, CA and has the professional credentials of PA-S. The NPI Number for Mark Enselman is 1821649591 and holds a License No. (California).

The current practice location address for Mark Enselman is 2575 Yorba Linda Blvd, Fullerton, CA and can be reached out via phone at 714-449-7400.

Location: 2575 Yorba Linda Blvd, Fullerton, CA, 92831-1615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821649591
Provider Name
Mark Enselman
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
2575 Yorba Linda Blvd, Fullerton, CA, 92831-1615
Phone Number
714-449-7400
Fax Number
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2575 Yorba Linda Blvd
City
Fullerton
State
California
Zip
92831-1615
Phone Number
714-449-7400
Fax Number
person
Provider Business Mailing Address Details
Address
2575 Yorba Linda Blvd
City
Fullerton
State
California
Zip
92831-1615
Phone Number
714-449-7400
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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