Individual provider · Type 1 NPI

Antionette Palacio Mirenda

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

NPI number 1144035957 Active

Practice location

1950 3rd St
La Verne, CA 91750-4401

Call (909) 593-3511 Map

Mailing address

913 Lafayette St
San Gabriel, CA 91776-2821

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 1144035957

Antionette Palacio Mirenda's National Provider Identifier is 1144035957, issued on Feb 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Verne, CA. The record was last updated on Feb 10, 2025.