Individual provider · Type 1 NPI

Stella Pak

Student in an Organized Health Care Education/Training Program · Kettering, OH

NPI number 1609308675 Active

Practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Call (937) 384-6800 Map

Mailing address

1325 Oak Hill Ct Apt 142
Toledo, OH 43614-2530

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 1609308675

Stella Pak's National Provider Identifier is 1609308675, issued on Mar 29, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kettering, OH. The record was last updated on Mar 29, 2017.