Individual provider · Type 1 NPI

Jose Mariscal

Student in an Organized Health Care Education/Training Program · Pueblo, CO

NPI number 1376142703 Active

Practice location

1817 Yakima Ln
Pueblo, CO 81001-1513

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.

Another provider at this address

Other student in an organized health care education/training program providers in Pueblo

See all in Pueblo →

About NPI 1376142703

Jose Mariscal's National Provider Identifier is 1376142703, issued on Oct 16, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pueblo, CO. The record was last updated on Oct 16, 2020.