Individual provider · Type 1 NPI

Serkadis Amare Krohm

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

NPI number 1942636550 Active

Practice location

1556 S Sultana Ave
Ontario, CA 91761-4238

Call (909) 418-6923 Map

Mailing address

2930 Canyon Crest Dr Apt 14
Riverside, CA 92507-2985

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XE1057222 (CA)

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 1942636550

Serkadis Amare Krohm's National Provider Identifier is 1942636550, issued on Sep 16, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ontario, CA. The record was last updated on Sep 18, 2013.