Individual provider · Type 1 NPI

Miracle Mercedes Marie Smart

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1003584459 Active

Practice location

Usc School Of Pharmacy 1985 Zonal Ave
Los Angeles, CA 90089-0001

Call (323) 442-1369 Map

Mailing address

2201 Trojan Way Unit 4415
Los Angeles, CA 90033-2702

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 1003584459

Miracle Mercedes Marie Smart's National Provider Identifier is 1003584459, issued on Sep 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 1, 2021.