Willie P Rajvong - Statesboro, GA

Willie P Rajvong

Student in an Organized Health Care Education/Training Program in Statesboro, Georgia

NPI 1992373013

Willie P Rajvong is a Student in an Organized Health Care Education/Training Program based in Statesboro, GA. Willie P Rajvong practices in Statesboro, GA. The NPI Number for Willie P Rajvong is 1992373013 and holds a License No. (Georgia).

The current practice location address for Willie P Rajvong is 1332 Southern Dr, Statesboro, GA and can be reached out via phone at 912-478-4636.

Location: 1332 Southern Dr, Statesboro, GA, 30458-3241

NPI Number

1992373013

Provider Name

Willie P Rajvong

Credential

Provider Entity Type

Individual

Gender

Male

Address

1332 Southern Dr, Statesboro, GA, 30458-3241

Phone Number

912-478-4636

Fax Number

Provider Enumeration Date

06/15/2021

Last Update Date

03/10/2024

Address

1332 Southern Dr

City

Statesboro

State

Georgia

Zip

30460-1360

Phone Number

912-478-4636

Fax Number

Address

1332 Southern Dr

City

Statesboro

State

Georgia

Zip

30460-1360

Phone Number

912-478-4636

Fax Number

Type

Technologists, Technicians & Other Technical Service Providers

Classification

Specialist/Technologist, Pathology

Speciality

Medical Technologist

Taxonomy

246QM0706X

License No.

()

Definition

Definition to come...

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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