Samuel Backus
Samuel Backus is a Student in an Organized Health Care Education/Training Program in Oakland, California. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
275 W Macarthur BlvdOakland, CA 94611-5641
Phone: (253) 970-1033
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1518498492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2017 |
| Last updated in NPPES | December 17, 2021 |
| Mailing address | 3003 N 28th St, Tacoma, WA 98407-6315 |
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