Sam Duran, PHDCLINICALSTUDENT
Sam Duran, PHDCLINICALSTUDENT is a Student in an Organized Health Care Education/Training Program in Fresno, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
4946 E Yale Ave Ste 103Fresno, CA 93727-1571
Phone: (559) 458-0210
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 8405 (CA) |
|---|
Record details
| NPI number | 1104606961 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHDCLINICALSTUDENT |
| Sole proprietor | No |
| NPI enumerated | September 29, 2023 |
| Last updated in NPPES | September 29, 2023 |
| Certification date | September 29, 2023 |
| Mailing address | 1550 W Ashlan Ave Apt 241, Fresno, CA 93705-1918 |
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