| NPI | 1891490207 |
|---|---|
| Former Name | KEVIN ABEL SANCHEZ CIFUENTES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH R4394) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-07-10 |