person
Jacquelyn Shader
Student in an Organized Health Care Education/Training Program in Long Beach, California
NPI 1477115897

Jacquelyn Shader is a Student in an Organized Health Care Education/Training Program based in Yorba Linda, CA. Jacquelyn Shader practices in Long Beach, CA. The NPI Number for Jacquelyn Shader is 1477115897 and holds a License No. (California).

The current practice location address for Jacquelyn Shader is 1301 Pine Ave, Long Beach, CA and can be reached out via phone at 562-595-1195.

Location: 1301 Pine Ave, Long Beach, CA, 92887-2455
person
Provider Profile Details
NPI Number
1477115897
Provider Name
Jacquelyn Shader
Credential
Provider Entity Type
Individual
Gender
Female
Address
1301 Pine Ave, Long Beach, CA, 92887-2455
Phone Number
562-595-1195
Fax Number
Provider Enumeration Date
07/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Pine Ave
City
State
Zip
90813-3124
Phone Number
562-595-1195
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pine Ave
City
State
Zip
90813-3124
Phone Number
562-595-1195
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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