Individual provider · Type 1 NPI

Alexandria Ava Wyatt

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

NPI number 1487480844 Active

Practice location

12810 Heacock St Ste B202
Moreno Valley, CA 92553-2873

Call (951) 247-6542 Map

Mailing address

1667 Ocala Ln
Beaumont, CA 92223-3212

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 1487480844

Alexandria Ava Wyatt's National Provider Identifier is 1487480844, issued on Sep 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 12, 2024.