Mirjana Grace Ivanic
Mirjana Grace Ivanic is a Student in an Organized Health Care Education/Training Program in Oakland, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1411 E 31st Street A2 WingOakland, CA 94602
Phone: (510) 437-4800
Fax: (510) 535-7313
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1902509581 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | March 23, 2023 |
| Certification date | March 23, 2023 |
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