Individual provider · Type 1 NPI

Mackenzie Robyn Brazil

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

NPI number 1013748649 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Call (707) 268-2990 Map

Mailing address

1 Rossow St # 206D1
Arcata, CA 95521-8227

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XY1532770 (CA)

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 1013748649

Mackenzie Robyn Brazil's National Provider Identifier is 1013748649, issued on Aug 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eureka, CA. The record was last updated on Oct 9, 2024.