Karen Dimayuga
Student in an Organized Health Care Education/Training Program in Azusa, CA. Individual provider (NPI-1).
NPI number1477058808
StatusActive
Last updated in NPPESMar 27, 2018
Details
- NPI
- 1477058808
- Entity type
- Individual (NPI-1)
- Name
- Karen Dimayuga
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2018
- Last updated
- Mar 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
901 E Alosta AveAzusa, CA 91702-2701
Phone 626-665-3966
Mailing address
533 Melham AveLa Puente, CA 91744-3754
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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