Geremy Mamaclay Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Fountain Valley, CA
- NPI
- 1871039354
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-01-09
- Last updated
- 2017-01-09
Practice location
10469 Slater Ave Apt 206
Fountain Valley, CA 92708-7712
(714) 732-9526