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Shawntaya Bertharene Pride
Student in an Organized Health Care Education/Training Program in Parker, Arizona
NPI 1285882381

Shawntaya Bertharene Pride is a Student in an Organized Health Care Education/Training Program based in Parker, AZ. Shawntaya Bertharene Pride practices in Parker, AZ. The NPI Number for Shawntaya Bertharene Pride is 1285882381 and holds a License No. (Arizona).

The current practice location address for Shawntaya Bertharene Pride is 12033 Agency Rd, Parker, AZ and can be reached out via phone at 760-922-1750.

Location: 12033 Agency Rd, Parker, AZ, 85344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285882381
Provider Name
Shawntaya Bertharene Pride
Credential
Provider Entity Type
Individual
Gender
Female
Address
12033 Agency Rd, Parker, AZ, 85344
Phone Number
760-922-1750
Fax Number
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
760-922-1750
Fax Number
person
Provider Business Mailing Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
760-922-1750
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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