Individual provider · Type 1 NPI

Branayia Danielle Thomas-Mack

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

NPI number 1538077193 Active

Practice location

2650 E Foothill Blvd
Pasadena, CA 91107-3439

Fax (626) 577-2543

Mailing address

431 S Burnside Ave Apt 2A
Los Angeles, CA 90036-5340

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 1538077193

Branayia Danielle Thomas-Mack's National Provider Identifier is 1538077193, issued on Sep 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Sep 1, 2026.