Individual provider · Type 1 NPI
Reagan Golucke
Student in an Organized Health Care Education/Training Program · El Paso, TX
NPI number
1902447154
Active
Practice location
11413 Lake Tana Dr
El Paso, TX 79936-3904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1902447154
Reagan Golucke's National Provider Identifier is 1902447154, issued on Sep 30, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Paso, TX. The record was last updated on Sep 30, 2019.