Individual provider · Type 1 NPI

Seyedeh Pegah Mirmalek

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1003645706 Active

Practice location

Farmington
Farmington, CT 06030

Mailing address

16 Ravenwood Rd, 06107
West Hartford, CT 06107

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X14209 (CT)

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 1003645706

Seyedeh Pegah Mirmalek's National Provider Identifier is 1003645706, issued on Jul 31, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Aug 9, 2024.