Individual provider · Type 1 NPI

Marissa N. Beraza

Student in an Organized Health Care Education/Training Program · Kalamazoo, MI

NPI number 1295404564 Active

Practice location

4010 W Michigan Ave Apt 20
Kalamazoo, MI 49006-5826

Call (269) 674-9615 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone 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 1295404564

Marissa N. Beraza's National Provider Identifier is 1295404564, issued on Sep 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kalamazoo, MI. The record was last updated on Sep 30, 2021.