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Geremy Mamaclay
Student in an Organized Health Care Education/Training Program in Fountain Valley, California
NPI 1871039354

Geremy Mamaclay is a Student in an Organized Health Care Education/Training Program based in Fountain Valley, CA. Geremy Mamaclay practices in Fountain Valley, CA. The NPI Number for Geremy Mamaclay is 1871039354 and holds a License No. (California).

The current practice location address for Geremy Mamaclay is 10469 Slater Ave Apt 206, Fountain Valley, CA and can be reached out via phone at 714-732-9526.

Location: 10469 Slater Ave Apt 206, Fountain Valley, CA, 92708-7712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871039354
Provider Name
Geremy Mamaclay
Credential
Provider Entity Type
Individual
Gender
Male
Address
10469 Slater Ave Apt 206, Fountain Valley, CA, 92708-7712
Phone Number
714-732-9526
Fax Number
Provider Enumeration Date
01/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10469 Slater Ave Apt 206
City
Fountain Valley
State
California
Zip
92708-7712
Phone Number
714-732-9526
Fax Number
person
Provider Business Mailing Address Details
Address
10469 Slater Ave Apt 206
City
Fountain Valley
State
California
Zip
92708-7712
Phone Number
714-732-9526
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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