Individual provider · Type 1 NPI

Rayven Laria Peterson

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1801629399 Active

Practice location

1175 Appian Crossing Way Apt 812
Lexington, KY 40517-1057

Call (937) 248-1450 Map

Mailing address

2417 Michigan Ave
Santa Monica, CA 90404-4009

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 1801629399

Rayven Laria Peterson's National Provider Identifier is 1801629399, issued on Aug 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Aug 21, 2024.