Individual provider · Type 1 NPI

Eleonora Nestora Michael

Student in an Organized Health Care Education/Training Program · Roxbury, MA

NPI number 1659987204 Active

Practice location

17 Greenville St
Roxbury, MA 02119-2315

Mailing address

1 S Point Dr Apt 312
Dorchester, MA 02125-3521

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 1659987204

Eleonora Nestora Michael's National Provider Identifier is 1659987204, issued on Sep 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roxbury, MA. The record was last updated on Sep 18, 2020.