Individual provider · Type 1 NPI

Domonique Stevens

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

NPI number 1750054813 Active

Practice location

560 S St Louis St
Los Angeles, CA 90033-4320

Call (626) 227-7014 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 1750054813

Domonique Stevens's National Provider Identifier is 1750054813, issued on Jul 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 26, 2021.