Donna Baten Kangieser

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Discovery Bay, CA

NPI 1699219808 · NPPES record last updated Dec 6, 2016

Key facts

NPI
1699219808
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2275 Tamarisk CT
Discovery Bay, CA 94505-9227
Phone
(925) 858-8440
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2275 Tamarisk CT
Discovery Bay, CA 94505-9227

Mailing address

2275 Tamarisk CT
Discovery Bay, CA 94505-9227
Phone (925) 858-8440

Other providers in Discovery Bay, CA

All providers in Discovery Bay, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.