Jacquelyn Shader
Jacquelyn Shader is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1301 Pine AveLong Beach, CA 90813-3124
Phone: (562) 595-1195
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1477115897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 5, 2019 |
| Last updated in NPPES | July 5, 2019 |
| Mailing address | 21065 Via Toledo, Yorba Linda, CA 92887-2455 |
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