Individual provider · Type 1 NPI

Mirjana Grace Ivanic

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

NPI number 1902509581 Active

Practice location

1411 East 31st Street, A2 Wing
Oakland, CA 94602

Call (510) 437-4800 Map

Fax (510) 535-7313

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 1902509581

Mirjana Grace Ivanic's National Provider Identifier is 1902509581, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Mar 23, 2023.