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Tyshawn Thompson
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1558090183

Tyshawn Thompson is a Student in an Organized Health Care Education/Training Program based in Fair Lawn, CA. Tyshawn Thompson practices in San Diego, CA. The NPI Number for Tyshawn Thompson is 1558090183 and holds a License No. (California).

The current practice location address for Tyshawn Thompson is 480 Alta Rd, San Diego, CA and can be reached out via phone at 619-661-6500.

Location: 480 Alta Rd, San Diego, CA, 07410-3927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558090183
Provider Name
Tyshawn Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
480 Alta Rd, San Diego, CA, 07410-3927
Phone Number
619-661-6500
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
480 Alta Rd
City
San Diego
State
California
Zip
92179-0001
Phone Number
619-661-6500
Fax Number
person
Provider Business Mailing Address Details
Address
480 Alta Rd
City
San Diego
State
California
Zip
92179-0001
Phone Number
619-661-6500
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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