Individual provider · Type 1 NPI
Isabella Grace Park
Student in an Organized Health Care Education/Training Program · Rio Linda, CA
NPI number
1619711215
Active
Practice location
6436 Crusade Ct
Rio Linda, CA 95673-3279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1619711215
Isabella Grace Park's National Provider Identifier is 1619711215, issued on Jun 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rio Linda, CA. The record was last updated on Jun 19, 2024.