person
Shane Samuel
Student in an Organized Health Care Education/Training Program in Mesa, Arizona
NPI 1558112565

Shane Samuel is a Student in an Organized Health Care Education/Training Program based in Mesa, AZ. Shane Samuel practices in Mesa, AZ. The NPI Number for Shane Samuel is 1558112565 and holds a License No. (Arizona).

The current practice location address for Shane Samuel is 10512 E Nichols Ave., Mesa, AZ and can be reached out via phone at 951-217-9678.

Location: 10512 E Nichols Ave., Mesa, AZ, 85209
person
Provider Profile Details
NPI Number
1558112565
Provider Name
Shane Samuel
Credential
Provider Entity Type
Individual
Gender
Male
Address
10512 E Nichols Ave., Mesa, AZ, 85209
Phone Number
951-217-9678
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
10512 E Nichols Ave.
City
State
Zip
85209
Phone Number
951-217-9678
Fax Number
person
Provider Business Mailing Address Details
Address
10512 E Nichols Ave.
City
State
Zip
85209
Phone Number
951-217-9678
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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