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Shaun Ryan Egly, IDC
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1710607494

Shaun Ryan Egly is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Shaun Ryan Egly practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Shaun Ryan Egly is 1710607494 and holds a License No. (California).

The current practice location address for Shaun Ryan Egly is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 619-532-5110.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710607494
Provider Name
Shaun Ryan Egly
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-7000
Phone Number
619-532-5110
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-5110
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-5110
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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