Individual provider · Type 1 NPI
Diana Randolph-Merchant
Student in an Organized Health Care Education/Training Program · Lynn, MA
NPI number
1003215872
Active
Practice location
95 Pleasant St
Lynn, MA 01901-1524
Mailing address
126 Highland Ave
Salem, MA 01970-2724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1003215872
Diana Randolph-Merchant's National Provider Identifier is 1003215872, issued on Aug 18, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynn, MA. The record was last updated on Aug 18, 2014.