IndividualActive
Aaron Deatherage
NPI 1003563875 · Student in an Organized Health Care Education/Training Program · Corona, CA
Provider details
- NPI number
- 1003563875
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Mailing address
800 S Main St
Corona, CA 92882-3420
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.