Individual provider · Type 1 NPI

Diamond Tyler Nanisa Bennett

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1679305080 Active

Practice location

222 W Mckinley Ave Apt 9
Pomona, CA 91768-1838

Call (910) 977-3646 Map

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 1679305080

Diamond Tyler Nanisa Bennett's National Provider Identifier is 1679305080, issued on Aug 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Aug 14, 2024.