Individual provider · Type 1 NPI

Ileana Dennis

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

NPI number 1457718991 Active

Practice location

1500 S. Ave K, Station 3, Shroc
Portales, NM 88130

Call (575) 562-2160 Map

Mailing address

1500 S. Ave K Station 3, Shroc
Portales, NM 88130

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801XSPA3050 (CA)
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.

2 other providers at this address

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About NPI 1457718991

Ileana Dennis's National Provider Identifier is 1457718991, issued on Jan 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portales, NM. The record was last updated on Aug 30, 2017.