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Laquisha Byrd III, IDC
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1750972410

Laquisha Byrd III is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Laquisha Byrd III practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Laquisha Byrd III is 1750972410 and holds a License No. (California).

The current practice location address for Laquisha Byrd III is 34101 Fareholt Ave 92134 Building 14, San Diego, CA and can be reached out via phone at 571-659-1395.

Location: 34101 Fareholt Ave 92134 Building 14, San Diego, CA, 92134-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750972410
Provider Name
Laquisha Byrd III
Credential
IDC
Provider Entity Type
Individual
Gender
Female
Address
34101 Fareholt Ave 92134 Building 14, San Diego, CA, 92134-7000
Phone Number
571-659-1395
Fax Number
Provider Enumeration Date
01/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Fareholt Ave 92134 Building 14
City
San Diego
State
California
Zip
92134-0001
Phone Number
571-659-1395
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Fareholt Ave 92134 Building 14
City
San Diego
State
California
Zip
92134-0001
Phone Number
571-659-1395
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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