person
Blair Evonne Shane
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1104696566

Blair Evonne Shane is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Blair Evonne Shane practices in Jacksonville, FL. The NPI Number for Blair Evonne Shane is 1104696566 and holds a License No. (Florida).

The current practice location address for Blair Evonne Shane is 3027 San Diego Rd, Jacksonville, FL and can be reached out via phone at 904-493-7744.

Location: 3027 San Diego Rd, Jacksonville, FL, 32256-0409
person
Provider Profile Details
NPI Number
1104696566
Provider Name
Blair Evonne Shane
Credential
Provider Entity Type
Individual
Gender
Female
Address
3027 San Diego Rd, Jacksonville, FL, 32256-0409
Phone Number
904-493-7744
Fax Number
Provider Enumeration Date
01/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3027 San Diego Rd
City
State
Zip
32207-3691
Phone Number
904-493-7744
Fax Number
person
Provider Business Mailing Address Details
Address
3027 San Diego Rd
City
State
Zip
32207-3691
Phone Number
904-493-7744
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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