Individual provider · Type 1 NPI

Dominique Lassen Krzykos

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1093491748 Active

Practice location

14210 N 13th St
Phoenix, AZ 85022-4407

Call (602) 828-7855 Map

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 1093491748

Dominique Lassen Krzykos's National Provider Identifier is 1093491748, issued on Jun 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 27, 2023.