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Justin Fortune Creeden
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1124878863

Justin Fortune Creeden is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Justin Fortune Creeden practices in San Diego, CA. The NPI Number for Justin Fortune Creeden is 1124878863 and holds a License No. (California).

The current practice location address for Justin Fortune Creeden is 200 W. Arbor Drive, San Diego, CA and can be reached out via phone at 619-471-0283.

Location: 200 W. Arbor Drive, San Diego, CA, 92103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124878863
Provider Name
Justin Fortune Creeden
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 W. Arbor Drive, San Diego, CA, 92103
Phone Number
619-471-0283
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
200 W. Arbor Drive
City
San Diego
State
California
Zip
92103
Phone Number
619-471-0283
Fax Number
person
Provider Business Mailing Address Details
Address
200 W. Arbor Drive
City
San Diego
State
California
Zip
92103
Phone Number
619-471-0283
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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