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Maizie Lynn Wakefield
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1942970264

Maizie Lynn Wakefield is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Maizie Lynn Wakefield practices in San Diego, CA. The NPI Number for Maizie Lynn Wakefield is 1942970264 and holds a License No. (California).

The current practice location address for Maizie Lynn Wakefield is 5187 College Ave, San Diego, CA and can be reached out via phone at 208-440-0546.

Location: 5187 College Ave, San Diego, CA, 92115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942970264
Provider Name
Maizie Lynn Wakefield
Credential
Provider Entity Type
Individual
Gender
Female
Address
5187 College Ave, San Diego, CA, 92115
Phone Number
208-440-0546
Fax Number
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5187 College Ave
City
San Diego
State
California
Zip
92115
Phone Number
208-440-0546
Fax Number
person
Provider Business Mailing Address Details
Address
5187 College Ave
City
San Diego
State
California
Zip
92115
Phone Number
208-440-0546
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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