Individual provider · Type 1 NPI
Deandre M. Powell
Student in an Organized Health Care Education/Training Program · Benicia, CA
NPI number
1124690094
Active
Practice location
91 Riverview Ter Apt 137
Benicia, CA 94510-2764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1124690094
Deandre M. Powell's National Provider Identifier is 1124690094, issued on Jul 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Benicia, CA. The record was last updated on Jul 12, 2021.