Geremy Mamaclay is a student in an organized health care education training program in Fountain Valley, 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. Geremy Mamaclay NPI is 1871039354. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10469 SLATER AVE APT 206
FOUNTAIN VALLEY, CA
ZIP 92708-712
Phone: (714) 732-9526
The enumeration date for this NPI number is 1/9/2017 and was last updated on 1/9/2017.