Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Eddie Sidney Mack Sr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184059420

Mr. Eddie Sidney Mack Sr. is a Student in an Organized Health Care Education/Training Program in Pico Rivera, California. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Pico Rivera, CA

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184059420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 5, 2013

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