Individual provider · Type 1 NPI

Sopuruchi Maryanne Obialasor

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

NPI number 1740017797 Active

Practice location

7018 Blair Rd
Calipatria, CA 92233-9633

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 1740017797

Sopuruchi Maryanne Obialasor's National Provider Identifier is 1740017797, issued on Sep 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Calipatria, CA. The record was last updated on Sep 16, 2024.