Madison Fagerlie
Madison Fagerlie is a Student in an Organized Health Care Education/Training Program in Peoria, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
24998 N 74th AvePeoria, AZ 85383-6325
Phone: (623) 853-3428
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1639922370 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2024 |
| Last updated in NPPES | April 11, 2024 |
| Certification date | April 11, 2024 |
| Mailing address | 24998 N 74th Ave, Peoria, AZ 85383-6325 |
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