Individual provider · Type 1 NPI

Justin Vern Perreault

Student in an Organized Health Care Education/Training Program · Moorhead, MN

NPI number 1003419912 Active

Practice location

925 36th St. S.
Moorhead, MN 56560-5656

Call (701) 318-1116 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1003419912

Justin Vern Perreault's National Provider Identifier is 1003419912, issued on Nov 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moorhead, MN. The record was last updated on Nov 21, 2020.