Individual provider · Type 1 NPI

Sophia Pang

Student in an Organized Health Care Education/Training Program · North Canton, OH

NPI number 1336696632 Active

Practice location

539 Royer Ave NW
North Canton, OH 44720-2455

Call (302) 399-1219 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 1336696632

Sophia Pang's National Provider Identifier is 1336696632, issued on Sep 2, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Canton, OH. The record was last updated on Sep 2, 2016.