NPI 1013567023

Caitlyn Heredia

Practitioner Student in an Organized Health Care Education/Training Program Glendale, AZ

Practice location

Address: 18330 N 79th Avenue Apartment 1070, Glendale, AZ 85308
Phone: (951) 235-1187

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013567023
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2019
Record last updated: 12 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.