Individual provider · Type 1 NPI

Vlanca Michelle Cantu, PA STUDENT

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1881033355 Active

Practice location

375 S Chipeta Way Ste A
Salt Lake City, UT 84108-1261

Other practice locations

  • 18710 La Gloria Rd, Elmendorf, TX 78112-3623 · (210) 414-6563

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians 1710I1003XNone listed
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 1881033355

Vlanca Michelle Cantu, PA STUDENT's National Provider Identifier is 1881033355, issued on Jun 18, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 16, 2020.