Individual provider · Type 1 NPI

Diane Ihebom

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1912792011 Active

Practice location

401 W Allegheny Ave
Philadelphia, PA 19133-3644

Call (215) 291-2500 Map

Mailing address

18 Joppa Rd
Worcester, MA 01602-2230

Other practice locations

  • 1412 Fairmount Ave, Philadelphia, PA 19130-2908 · (215) 235-9600

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 1912792011

Diane Ihebom's National Provider Identifier is 1912792011, issued on Apr 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 10, 2025.