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Serkadis Amare Krohm
Student in an Organized Health Care Education/Training Program in Ontario, California
NPI 1942636550

Serkadis Amare Krohm is a Student in an Organized Health Care Education/Training Program based in Riverside, CA. Serkadis Amare Krohm practices in Ontario, CA. The NPI Number for Serkadis Amare Krohm is 1942636550 and holds a License No. E1057222 (California).

The current practice location address for Serkadis Amare Krohm is 1556 S Sultana Ave, Ontario, CA and can be reached out via phone at 909-418-6923.

Location: 1556 S Sultana Ave, Ontario, CA, 92507-2985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942636550
Provider Name
Serkadis Amare Krohm
Credential
Provider Entity Type
Individual
Gender
Female
Address
1556 S Sultana Ave, Ontario, CA, 92507-2985
Phone Number
909-418-6923
Fax Number
Provider Enumeration Date
09/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1556 S Sultana Ave
City
Ontario
State
California
Zip
91761-4238
Phone Number
909-418-6923
Fax Number
person
Provider Business Mailing Address Details
Address
1556 S Sultana Ave
City
Ontario
State
California
Zip
91761-4238
Phone Number
909-418-6923
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.
E1057222 (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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