Individual provider · Type 1 NPI
Vanessa Lara-Diaz
Student in an Organized Health Care Education/Training Program · Palm Desert, CA
NPI number
1154854339
Active
Practice location
75325 Kelsey Cir N
Palm Desert, CA 92211-5312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1154854339
Vanessa Lara-Diaz's National Provider Identifier is 1154854339, issued on Apr 5, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palm Desert, CA. The record was last updated on Apr 5, 2017.