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Shane David Massey, DPM
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1508625187

Shane David Massey is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Shane David Massey practices in San Diego, CA and has the professional credentials of DPM. The NPI Number for Shane David Massey is 1508625187 and holds a License No. (California).

The current practice location address for Shane David Massey is 4077 Fifth Ave # Mer-35, San Diego, CA and can be reached out via phone at 909-747-7097.

Location: 4077 Fifth Ave # Mer-35, San Diego, CA, 92103-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508625187
Provider Name
Shane David Massey
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4077 Fifth Ave # Mer-35, San Diego, CA, 92103-2105
Phone Number
909-747-7097
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4077 Fifth Ave # Mer-35
City
San Diego
State
California
Zip
92103-2105
Phone Number
909-747-7097
Fax Number
person
Provider Business Mailing Address Details
Address
4077 Fifth Ave # Mer-35
City
San Diego
State
California
Zip
92103-2105
Phone Number
909-747-7097
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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