person
Iman Conner Shull
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1760131106

Iman Conner Shull is a Student in an Organized Health Care Education/Training Program based in Visalia, CA. Iman Conner Shull practices in Los Angeles, CA. The NPI Number for Iman Conner Shull is 1760131106 and holds a License No. (California).

The current practice location address for Iman Conner Shull is 4733 W Sunset Blvd Fl 3, Los Angeles, CA and can be reached out via phone at 714-861-9021.

Location: 4733 W Sunset Blvd Fl 3, Los Angeles, CA, 93291-6237
person
Provider Profile Details
NPI Number
1760131106
Provider Name
Iman Conner Shull
Credential
Provider Entity Type
Individual
Gender
Male
Address
4733 W Sunset Blvd Fl 3, Los Angeles, CA, 93291-6237
Phone Number
714-861-9021
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4733 W Sunset Blvd Fl 3
City
State
Zip
90027-6093
Phone Number
714-861-9021
Fax Number
person
Provider Business Mailing Address Details
Address
4733 W Sunset Blvd Fl 3
City
State
Zip
90027-6093
Phone Number
714-861-9021
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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