Andre Conway, IDCSTUDENT
Andre Conway, IDCSTUDENT is a Student in an Organized Health Care Education/Training Program in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
34101 Farenholt AveSan Diego, CA 92134-7000
Phone: (619) 532-9712
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1356932016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDCSTUDENT |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2021 |
| Last updated in NPPES | January 26, 2021 |
| Certification date | January 26, 2021 |
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