Individual provider · Type 1 NPI

Casey Shockley

Student in an Organized Health Care Education/Training Program · Long Beach, CA

NPI number 1013240787 Active

Practice location

1975 Long Beach Blvd.
Long Beach, CA 90806

Call (562) 218-4013 Map

Fax (562) 599-3934

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 1013240787

Casey Shockley's National Provider Identifier is 1013240787, issued on Sep 14, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Sep 14, 2009.