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Raymond Lacbain Credo, IDC
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1396463261

Raymond Lacbain Credo is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Raymond Lacbain Credo practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Raymond Lacbain Credo is 1396463261 and holds a License No. (California).

The current practice location address for Raymond Lacbain Credo is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-6400.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92124-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396463261
Provider Name
Raymond Lacbain Credo
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 92124-2510
Phone Number
619-532-6400
Fax Number
Provider Enumeration Date
08/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-6400
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.
(California)
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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