IESHA TICKNOR
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1134743198
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1134743198 is the National Provider Identifier for IESHA TICKNOR, a Student in an Organized Health Care Education/Training Program provider located in Pasadena, CA. This NPI was enumerated on June 4, 2020.
IESHA TICKNOR practices at 100 W CALIFORNIA BLVD, Pasadena, CA 91105.
Quick Facts
- NPI
- 1134743198
- Type
- Individual
- Enumerated
- Jun 4, 2020
- Last Updated
- May 6, 2024
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