Taylor Jacob Shumway
Taylor Jacob Shumway is a Student in an Organized Health Care Education/Training Program in Oakland, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
155 Pearl St Apt 105Oakland, CA 94611-5506
Phone: (713) 858-1633
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1518594415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2020 |
| Last updated in NPPES | March 23, 2020 |
| Certification date | March 23, 2020 |
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