Individual provider · Type 1 NPI

Sam Duran, PHD CLINICAL STUDENT

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

NPI number 1104606961 Active

Practice location

4946 E Yale Ave Ste 103
Fresno, CA 93727-1571

Call (559) 458-0210 Map

Mailing address

1550 W Ashlan Ave Apt 241
Fresno, CA 93705-1918

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X8405 (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 1104606961

Sam Duran, PHD CLINICAL STUDENT's National Provider Identifier is 1104606961, issued on Sep 29, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Sep 29, 2023.