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Andre Conway, IDCSTUDENT
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1356932016

Andre Conway is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Andre Conway practices in San Diego, CA and has the professional credentials of IDCSTUDENT. The NPI Number for Andre Conway is 1356932016 and holds a License No. (California).

The current practice location address for Andre Conway is 34101 Farenholt Ave, San Diego, CA and can be reached out via phone at 619-532-9712.

Location: 34101 Farenholt Ave, San Diego, CA, 92134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356932016
Provider Name
Andre Conway
Credential
IDCSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
34101 Farenholt Ave, San Diego, CA, 92134
Phone Number
619-532-9712
Fax Number
Provider Enumeration Date
01/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Farenholt Ave
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-9712
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Farenholt Ave
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-9712
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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