REAGAN GOLUCKE

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1902447154

Practice Address

11413 LAKE TANA DR
El Paso, TX 79936

Phone: (915) 525-0630

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1902447154 is the National Provider Identifier for REAGAN GOLUCKE, a Student in an Organized Health Care Education/Training Program provider located in El Paso, TX. This NPI was enumerated on September 30, 2019.
REAGAN GOLUCKE practices at 11413 LAKE TANA DR, El Paso, TX 79936.

Quick Facts

NPI
1902447154
Type
Individual
Enumerated
Sep 30, 2019
Last Updated
Sep 30, 2019

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