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Lisa Vittayarukskul
Student in an Organized Health Care Education/Training Program in Colton, California
NPI 1851031363

Lisa Vittayarukskul is a Student in an Organized Health Care Education/Training Program based in Colton, CA. Lisa Vittayarukskul practices in Colton, CA. The NPI Number for Lisa Vittayarukskul is 1851031363 and holds a License No. (California).

The current practice location address for Lisa Vittayarukskul is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 626-374-5773.

Location: 400 N Pepper Ave, Colton, CA, 92324-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851031363
Provider Name
Lisa Vittayarukskul
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 N Pepper Ave, Colton, CA, 92324-1801
Phone Number
626-374-5773
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
626-374-5773
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
626-374-5773
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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