Mia Wallach
Mia Wallach is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
3282 Adeline StBerkeley, CA 94703-2439
Phone: (510) 981-5280
Fax: (510) 981-5255
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1700034055 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 28, 2008 |
| Last updated in NPPES | August 28, 2008 |
| Mailing address | 3282 Adeline St, Berkeley, CA 94703-2439 |
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