| NPI | 1831879279 |
|---|---|
| Other Name | ALEC VAN DETTA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-06-05 |