Ilana Renee Brodzki, PhD
Student in an Organized Health Care Education/Training Program in Durham, NC. Individual provider (NPI-1).
NPI number1164192563
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1164192563
- Entity type
- Individual (NPI-1)
- Name
- Ilana Renee Brodzki
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2021
- Certification date
- Sep 16, 2021
- Last updated
- Sep 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2608 Erwin Rd Ste 300Durham, NC 27705-4597
Phone 919-660-7649
Mailing address
1315 Morreene Rd Apt 15bDurham, NC 27705-4556
Phone 954-319-5550
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