Individual provider · Type 1 NPI

Trace Edward Fleming

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

NPI number 1063907673 Active

Practice location

13038 W Annadale Ave
Kerman, CA 93630-9102

Call (559) 283-7421 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1063907673

Trace Edward Fleming's National Provider Identifier is 1063907673, issued on Jun 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kerman, CA. The record was last updated on Jun 26, 2018.