Individual provider · Type 1 NPI

Wonder Edem

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

NPI number 1760142889 Active

Practice location

1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086

Fax (310) 326-7205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Behavior Technician 106S00000XNone 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 1760142889

Wonder Edem's National Provider Identifier is 1760142889, issued on Dec 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Harbor City, CA. The record was last updated on Mar 31, 2024.