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Kamilya Rae Shupe
Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona
NPI 1568075984

Kamilya Rae Shupe is a Student in an Organized Health Care Education/Training Program based in Flagstaff, AZ. Kamilya Rae Shupe practices in Flagstaff, AZ. The NPI Number for Kamilya Rae Shupe is 1568075984 and holds a License No. (Arizona).

The current practice location address for Kamilya Rae Shupe is 600 W University Ave Apt 23, Flagstaff, AZ and can be reached out via phone at 520-450-3409.

Location: 600 W University Ave Apt 23, Flagstaff, AZ, 86001-6353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568075984
Provider Name
Kamilya Rae Shupe
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 W University Ave Apt 23, Flagstaff, AZ, 86001-6353
Phone Number
520-450-3409
Fax Number
Provider Enumeration Date
08/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 W University Ave Apt 23
City
Flagstaff
State
Arizona
Zip
86001-6353
Phone Number
520-450-3409
Fax Number
person
Provider Business Mailing Address Details
Address
600 W University Ave Apt 23
City
Flagstaff
State
Arizona
Zip
86001-6353
Phone Number
520-450-3409
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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