Individual provider · Type 1 NPI

Clarissa Laura Setiomiguno

Student in an Organized Health Care Education/Training Program · Van Nuys, CA

NPI number 1316620222 Active

Practice location

14515 Hamlin St
Van Nuys, CA 91411-1686

Call (818) 989-7475 Map

Mailing address

18420 Lemarsh St Unit 26
Northridge, CA 91325-1063

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 1316620222

Clarissa Laura Setiomiguno's National Provider Identifier is 1316620222, issued on Aug 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Van Nuys, CA. The record was last updated on Aug 8, 2023.