Individual provider · Type 1 NPI
Paula Mary Derleth, DC
Student in an Organized Health Care Education/Training Program · Penfield, NY
NPI number
1366602369
Active
Practice location
2 Edenfield Rd
Penfield, NY 14526-1413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1366602369
Paula Mary Derleth, DC's National Provider Identifier is 1366602369, issued on Jun 12, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Penfield, NY. The record was last updated on Oct 3, 2008.