Individual provider · Type 1 NPI

Isabelo Samson Sicsic Jr.

Student in an Organized Health Care Education/Training Program · Las Cruces, NM

NPI number 1972356335 Active

Practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Call (575) 521-5370 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRS2024-0042 (NM)

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 1972356335

Isabelo Samson Sicsic Jr.'s National Provider Identifier is 1972356335, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Cruces, NM. The record was last updated on Jul 23, 2024.