Individual provider · Type 1 NPI

Carolyn Logan

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

NPI number 1255725610 Active

Practice location

6160 Mission Gorge Rd Ste 100
San Diego, CA 92120-3425

Call (619) 481-3790 Map

Fax (619) 481-3797

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 1255725610

Carolyn Logan's National Provider Identifier is 1255725610, issued on Mar 24, 2015. 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 Mar 24, 2015.