Keith Douglas Shaffer
Keith Douglas Shaffer is a Student in an Organized Health Care Education/Training Program in LA Jolla, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
10666 N Torrey Pines RdLA Jolla, CA 92037-1027
Phone: (858) 554-3200
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1356084677 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
| Mailing address | 10790 Rancho Bernardo Rd # 4s-205, San Diego, CA 92127-5705 |
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