Individual provider · Type 1 NPI
Dexter Molinaro
Student in an Organized Health Care Education/Training Program · Pleasant Prairie, WI
NPI number
1366820045
Active
Practice location
3731 109th St
Pleasant Prairie, WI 53158-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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.
About NPI 1366820045
Dexter Molinaro's National Provider Identifier is 1366820045, issued on May 13, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on May 13, 2015.