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Zachary Austin Shafer, IDC
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1134830805

Zachary Austin Shafer is a Student in an Organized Health Care Education/Training Program based in Fallbrook, CA. Zachary Austin Shafer practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Zachary Austin Shafer is 1134830805 and holds a License No. (California).

The current practice location address for Zachary Austin Shafer is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 619-532-7968.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 92028-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134830805
Provider Name
Zachary Austin Shafer
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
34101 Farenholt Ave Bldg 14, San Diego, CA, 92028-3112
Phone Number
619-532-7968
Fax Number
Provider Enumeration Date
12/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
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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