Individual provider · Type 1 NPI

Berend Adrien Enriquez Malin

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1649966599 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Call (817) 702-1204 Map

Mailing address

171 Deerfield Ln
Aberdeen, NJ 07747-1310

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 1649966599

Berend Adrien Enriquez Malin's National Provider Identifier is 1649966599, issued on Apr 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 13, 2023.