Individual provider · Type 1 NPI

Yadira S. Domenicucci

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

NPI number 1932931698 Active

Practice location

14515 Hamlin St
Van Nuys, CA 91411-1686

Mailing address

27938 Skycrest Cir
Valencia, CA 91354-1404

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 1932931698

Yadira S. Domenicucci's National Provider Identifier is 1932931698, issued on Aug 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Van Nuys, CA. The record was last updated on Aug 20, 2024.