Individual provider · Type 1 NPI
Kim Abbegail Tan Aldecoa
Student in an Organized Health Care Education/Training Program · Pontiac, MI
Practice location
St. Joseph Mercy Oakland HOSPITAL,44405 Woodward Avenue, Medical Education Department H23
Pontiac, MI 48341
Fax (248) 858-3244
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.
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About NPI 1700517778
Kim Abbegail Tan Aldecoa's National Provider Identifier is 1700517778, issued on Jun 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pontiac, MI. The record was last updated on Jun 21, 2022.