Individual provider · Type 1 NPI

Karen Dimayuga

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

NPI number 1477058808 Active

Practice location

901 E Alosta Ave
Azusa, CA 91702-2701

Call (626) 665-3966 Map

Mailing address

533 Melham Ave
La Puente, CA 91744-3754

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.

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About NPI 1477058808

Karen Dimayuga's National Provider Identifier is 1477058808, issued on Mar 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Azusa, CA. The record was last updated on Mar 27, 2018.