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Cody L Harry
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1932777158

Cody L Harry is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Cody L Harry practices in Santa Rosa, CA. The NPI Number for Cody L Harry is 1932777158 and holds a License No. (California).

The current practice location address for Cody L Harry is 401 Bicentennial Way, Santa Rosa, CA and can be reached out via phone at 775-722-1072.

Location: 401 Bicentennial Way, Santa Rosa, CA, 95403-2149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932777158
Provider Name
Cody L Harry
Credential
Provider Entity Type
Individual
Gender
Male
Address
401 Bicentennial Way, Santa Rosa, CA, 95403-2149
Phone Number
775-722-1072
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
775-722-1072
Fax Number
person
Provider Business Mailing Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
775-722-1072
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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