MISS MALESSIA IYABO FORREST NPI 1457670630

NPI Information

MISS Malessia Iyabo Forrest is a student in an organized health care education training program in Pasadena, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MISS Malessia Iyabo Forrest NPI is 1457670630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

521 FREMONT DR
PASADENA, CA
ZIP 91103-215
Phone: (310) 728-9587

The enumeration date for this NPI number is 5/27/2010 and was last updated on 5/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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