Scott Adam Self
Scott Adam Self is a Student in an Organized Health Care Education/Training Program in Orange, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
200 S Manchester Ave Ste 210Orange, CA 92868-3211
Phone: (714) 456-6966
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1871172692 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 7, 2021 |
| Last updated in NPPES | April 7, 2021 |
| Certification date | April 7, 2021 |
| Mailing address | 200 S Manchester Ave Ste 210, Orange, CA 92868-3211 |
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