Individual provider · Type 1 NPI

Allen Swadley

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

NPI number 1114538774 Active

Practice location

5241 N Maple Ave
Fresno, CA 93740-0001

Mailing address

4909 N Backer Ave Apt 128
Fresno, CA 93726-1318

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1114538774

Allen Swadley's National Provider Identifier is 1114538774, issued on Aug 16, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Aug 16, 2020.