Individual provider · Type 1 NPI

Victoria Soewarna

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1104686278 Active

Practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Call (704) 355-3181 Map

Fax (704) 355-7047

Mailing address

7255 Nightingale Dr Apt 8
Holland, OH 43528-9351

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 1104686278

Victoria Soewarna's National Provider Identifier is 1104686278, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 9, 2024.