Individual provider · Type 1 NPI

Madison Rose Stangeby, NONE

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

NPI number 1174277628 Active

Practice location

4451 30th St
San Diego, CA 92116-4232

Call (619) 914-2391 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1174277628

Madison Rose Stangeby, NONE's National Provider Identifier is 1174277628, issued on Feb 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 2, 2025.