Individual provider · Type 1 NPI
Marissa Boire
Student in an Organized Health Care Education/Training Program · Waterford, CA
NPI number
1629784772
Active
Practice location
108 Dockside Dr
Waterford, CA 95386-8840
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.
About NPI 1629784772
Marissa Boire's National Provider Identifier is 1629784772, issued on Jan 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterford, CA. The record was last updated on Jan 23, 2023.