person
Shane Wallin
Medical Art Specialist/Technologist in San Diego, California
NPI 1104282177

Shane Wallin is a Medical Art Specialist/Technologist based in San Diego, CA and is specialized in Art, Medical. Shane Wallin practices in San Diego, CA. The NPI Number for Shane Wallin is 1104282177 and holds a License No. 310143 (California).

The current practice location address for Shane Wallin is 1968 Garnet Ave, San Diego, CA and can be reached out via phone at 612-214-1325.

Location: 1968 Garnet Ave, San Diego, CA, 92117-6137
person
Provider Profile Details
NPI Number
1104282177
Provider Name
Shane Wallin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1968 Garnet Ave, San Diego, CA, 92117-6137
Phone Number
612-214-1325
Fax Number
Provider Enumeration Date
01/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1968 Garnet Ave
City
State
Zip
92109-3555
Phone Number
612-214-1325
Fax Number
person
Provider Business Mailing Address Details
Address
1968 Garnet Ave
City
State
Zip
92109-3555
Phone Number
612-214-1325
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Art, Medical
Taxonomy
License No.
310143 (Minnesota)
Definition
Definition to come...
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