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Mautrice Tademy
Student in an Organized Health Care Education/Training Program in Santa Monica, California
NPI 1912308867

Mautrice Tademy is a Student in an Organized Health Care Education/Training Program based in Santa Monica, CA. Mautrice Tademy practices in Santa Monica, CA. The NPI Number for Mautrice Tademy is 1912308867 and holds a License No. (California).

The current practice location address for Mautrice Tademy is 1453 16Th St, Santa Monica, CA and can be reached out via phone at 310-264-6646.

Location: 1453 16Th St, Santa Monica, CA, 90404-2715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912308867
Provider Name
Mautrice Tademy
Credential
Provider Entity Type
Individual
Gender
Female
Address
1453 16Th St, Santa Monica, CA, 90404-2715
Phone Number
310-264-6646
Fax Number
Provider Enumeration Date
09/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1453 16Th St
City
Santa Monica
State
California
Zip
90404-2715
Phone Number
310-264-6646
Fax Number
person
Provider Business Mailing Address Details
Address
1453 16Th St
City
Santa Monica
State
California
Zip
90404-2715
Phone Number
310-264-6646
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.
(California)
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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