Individual provider · Type 1 NPI

Shannon Ashly Requena

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1003433368 Active

Practice location

550 S Vermont Ave
Los Angeles, CA 90020-1912

Call (213) 763-3161 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003433368

Shannon Ashly Requena's National Provider Identifier is 1003433368, issued on Jul 1, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 1, 2020.