Deandre M Powell

NPI #1124690094 in Benicia, California

Provider Information

NPI Number: 1124690094
Entity Type: Individual
Name: Deandre M Powell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 12, 2021
Last Updated: Jul 12, 2021

Practice Location

Address: 91 RIVERVIEW TER APT 137
City: Benicia
State: California
ZIP Code: 94510-2764
Phone: (707) 208-0740

Specialties & Taxonomy Codes

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

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