Individual provider · Type 1 NPI

Sedadrian Santina Blaylock

Student in an Organized Health Care Education/Training Program · Newton, MS

NPI number 1679254346 Active

Practice location

113 Tillman Ave
Newton, MS 39345-2741

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 1679254346

Sedadrian Santina Blaylock's National Provider Identifier is 1679254346, issued on Jul 26, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newton, MS. The record was last updated on Jul 26, 2023.