Aaron Deatherage

NPI #1003563875 in Minot, North Dakota

Provider Information

NPI Number: 1003563875
Entity Type: Individual
Name: Aaron Deatherage
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 2, 2022
Last Updated: Mar 2, 2022

Practice Location

Address: 1909 31ST AVE SW APT 344
City: Minot
State: North Dakota
ZIP Code: 58701-7469
Phone: (909) 213-3973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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