person
Elvice Mihali Mwenematale
Student in an Organized Health Care Education/Training Program in Meridian, Idaho
NPI 1831852300

Elvice Mihali Mwenematale is a Student in an Organized Health Care Education/Training Program based in Meridian, ID. Elvice Mihali Mwenematale practices in Meridian, ID. The NPI Number for Elvice Mihali Mwenematale is 1831852300 and holds a License No. (Idaho).

The current practice location address for Elvice Mihali Mwenematale is 4316 E Tahiti St, Meridian, ID and can be reached out via phone at 208-695-1245.

Location: 4316 E Tahiti St, Meridian, ID, 83646-6339
person
Provider Profile Details
NPI Number
1831852300
Provider Name
Elvice Mihali Mwenematale
Credential
Provider Entity Type
Individual
Gender
Male
Address
4316 E Tahiti St, Meridian, ID, 83646-6339
Phone Number
208-695-1245
Fax Number
Provider Enumeration Date
10/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-3194123 01 ID 87-3194123
institution
Provider Business Practice Location Address Details
Address
4316 E Tahiti St
City
State
Zip
83646-6339
Phone Number
208-695-1245
Fax Number
person
Provider Business Mailing Address Details
Address
4316 E Tahiti St
City
State
Zip
83646-6339
Phone Number
208-695-1245
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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