Individual provider · Type 1 NPI

Katey Marin

Student in an Organized Health Care Education/Training Program · Petaluma, CA

NPI number 1457737074 Active

Practice location

101 H St Ste L
Petaluma, CA 94952-5100

Fax (866) 317-1665

Mailing address

548 Rinaldo St
Santa Rosa, CA 95409-2840

Other practice locations

  • 5740 Ralston St, #200, Ventura, CA 93003-6051 · (805) 289-3203

Specialties and licenses

TaxonomyCodeLicense
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 1457737074

Katey Marin's National Provider Identifier is 1457737074, issued on Aug 5, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petaluma, CA. The record was last updated on Mar 11, 2019.