Individual provider · Type 1 NPI

Shelby Dean Gonzalez

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

NPI number 1164255758 Active

Practice location

144 Marbly Ave
Daly City, CA 94015-2725

Mailing address

1950 Alameda De Las Pulgas
San Mateo, CA 94403-1222

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 1164255758

Shelby Dean Gonzalez's National Provider Identifier is 1164255758, issued on Aug 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Daly City, CA. The record was last updated on Aug 21, 2024.