Individual provider · Type 1 NPI

Melissa Van Fossen

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

NPI number 1093227258 Active

Practice location

867 N Fair Oaks Ave
Pasadena, CA 91103-3050

Mailing address

451 Salisbury Ln
Claremont, CA 91711-1936

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 1093227258

Melissa Van Fossen's National Provider Identifier is 1093227258, issued on Oct 27, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Oct 27, 2017.