Individual provider · Type 1 NPI
Lara Acedillo
Student in an Organized Health Care Education/Training Program · Millbrae, CA
NPI number
1720475577
Active
Practice location
165 Del Centro
Millbrae, CA 94030-2162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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.
Other student in an organized health care education/training program providers in Millbrae
About NPI 1720475577
Lara Acedillo's National Provider Identifier is 1720475577, issued on Apr 20, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Millbrae, CA. The record was last updated on Apr 20, 2015.