Individual provider · Type 1 NPI

Martin Lawerence Jose Llamas

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

NPI number 1104296763 Active

Practice location

2045 Jefferson Dr
Pasadena, CA 91104-1732

Call (626) 628-5908 Map

Mailing address

3813 Elsmere Ave
Norwood, OH 45212-3819

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 1104296763

Martin Lawerence Jose Llamas's National Provider Identifier is 1104296763, issued on Sep 25, 2015. 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 Sep 25, 2015.