person
Shelby Wallace
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1407424831

Shelby Wallace is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Shelby Wallace practices in Phoenix, AZ. The NPI Number for Shelby Wallace is 1407424831 and holds a License No. (Arizona).

The current practice location address for Shelby Wallace is 411 E Indian School Rd Apt 2038, Phoenix, AZ and can be reached out via phone at 323-719-1465.

Location: 411 E Indian School Rd Apt 2038, Phoenix, AZ, 85012-1880
person
Provider Profile Details
NPI Number
1407424831
Provider Name
Shelby Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 E Indian School Rd Apt 2038, Phoenix, AZ, 85012-1880
Phone Number
323-719-1465
Fax Number
Provider Enumeration Date
06/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 E Indian School Rd Apt 2038
City
State
Zip
85012-1880
Phone Number
323-719-1465
Fax Number
person
Provider Business Mailing Address Details
Address
411 E Indian School Rd Apt 2038
City
State
Zip
85012-1880
Phone Number
323-719-1465
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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