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Shaunton Stubbs, DO
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1083300016

Shaunton Stubbs is a Student in an Organized Health Care Education/Training Program based in Boise, CA. Shaunton Stubbs practices in Modesto, CA and has the professional credentials of DO. The NPI Number for Shaunton Stubbs is 1083300016 and holds a License No. (California).

The current practice location address for Shaunton Stubbs is 1400 Florida Ave, Modesto, CA and can be reached out via phone at 209-573-6183.

Location: 1400 Florida Ave, Modesto, CA, 83713-2537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083300016
Provider Name
Shaunton Stubbs
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1400 Florida Ave, Modesto, CA, 83713-2537
Phone Number
209-573-6183
Fax Number
Provider Enumeration Date
04/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Florida Ave
City
Modesto
State
California
Zip
95350-4422
Phone Number
209-573-6183
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Florida Ave
City
Modesto
State
California
Zip
95350-4422
Phone Number
209-573-6183
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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