Marina Vanderslice
Student in an Organized Health Care Education/Training Program in Columbia, SC. Individual provider (NPI-1).
NPI number1619704335
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1619704335
- Entity type
- Individual (NPI-1)
- Name
- Marina Vanderslice
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2024
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
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
1300 Wheat StColumbia, SC 29201-4347
Phone 479-419-0827
Mailing address
903 Sycamore TrceLowell, AR 72745-9064
Phone 479-419-0827
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