Individual provider · Type 1 NPI

Ilona Marcello

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

NPI number 1508214057 Active

Practice location

776 S State St Ste 103
Ukiah, CA 95482-5833

Call (707) 463-4915 Map

Mailing address

790 S Franklin St
Fort Bragg, CA 95437-5456

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 1508214057

Ilona Marcello's National Provider Identifier is 1508214057, issued on May 25, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ukiah, CA. The record was last updated on Sep 3, 2025.