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Larisa Mildzikhova
Student in an Organized Health Care Education/Training Program in Irwindale, California
NPI 1881479400

Larisa Mildzikhova is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Larisa Mildzikhova practices in Irwindale, CA. The NPI Number for Larisa Mildzikhova is 1881479400 and holds a License No. (California).

The current practice location address for Larisa Mildzikhova is 13001 Ramona Blvd, Irwindale, CA and can be reached out via phone at 626-373-2900.

Location: 13001 Ramona Blvd, Irwindale, CA, 91105-2711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881479400
Provider Name
Larisa Mildzikhova
Credential
Provider Entity Type
Individual
Gender
Female
Address
13001 Ramona Blvd, Irwindale, CA, 91105-2711
Phone Number
626-373-2900
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13001 Ramona Blvd
City
Irwindale
State
California
Zip
91706-3752
Phone Number
626-373-2900
Fax Number
person
Provider Business Mailing Address Details
Address
13001 Ramona Blvd
City
Irwindale
State
California
Zip
91706-3752
Phone Number
626-373-2900
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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