Individual provider · Type 1 NPI

Kori Taylor Gandara, DO

Student in an Organized Health Care Education/Training Program · Las Cruces, NM

NPI number 1366296980 Active

Practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Call (575) 521-5370 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XRS2024-0261 (NM)
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 1366296980

Kori Taylor Gandara, DO's National Provider Identifier is 1366296980, issued on Apr 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Cruces, NM. The record was last updated on Sep 12, 2024.