Individual provider · Type 1 NPI

Blaze Reilley Marshall

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

NPI number 1528936473 Active

Practice location

24745 Stewart St
Loma Linda, CA 92350-1719

Call (909) 558-1300 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XINT51649 (CA)

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 1528936473

Blaze Reilley Marshall's National Provider Identifier is 1528936473, issued on Oct 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on Oct 23, 2025.