person
Mr. Shaun Marvin Luther
Student in an Organized Health Care Education/Training Program in Stockton, California
NPI 1497522072

Shaun Marvin Luther is a Student in an Organized Health Care Education/Training Program based in Stockton, CA. Shaun Marvin Luther practices in Stockton, CA. The NPI Number for Shaun Marvin Luther is 1497522072 and holds a License No. 814023 (California).

The current practice location address for Shaun Marvin Luther is 776 W Longview Ave, Stockton, CA and can be reached out via phone at 951-215-8465.

Location: 776 W Longview Ave, Stockton, CA, 95207-4713
person
Provider Profile Details
NPI Number
1497522072
Provider Name
Shaun Marvin Luther
Credential
Provider Entity Type
Individual
Gender
Male
Address
776 W Longview Ave, Stockton, CA, 95207-4713
Phone Number
951-215-8465
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
776 W Longview Ave
City
State
Zip
95207-4713
Phone Number
951-215-8465
Fax Number
person
Provider Business Mailing Address Details
Address
776 W Longview Ave
City
State
Zip
95207-4713
Phone Number
951-215-8465
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.
814023 (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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