Devin Victor Bageac
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1033859277
StatusActive
Last updated in NPPESMar 29, 2022
Details
- NPI
- 1033859277
- Entity type
- Individual (NPI-1)
- Name
- Devin Victor Bageac
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2022
- Certification date
- Mar 29, 2022
- Last updated
- Mar 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1500 San Pablo StLos Angeles, CA 90033-5313
Phone 732-330-3975
Mailing address
73 Cranmoor DrToms River, NJ 08753-6865
Phone 732-330-3975
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