Individual provider · Type 1 NPI

Andre Conway, IDC STUDENT

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

NPI number 1356932016 Active

Practice location

34101 Farenholt Ave
San Diego, CA 92134-7000

Call (619) 532-9712 Map

Mailing address

Building 14, 34101 Farenholt Ave
San Diego, CA 92134

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 1356932016

Andre Conway, IDC STUDENT's National Provider Identifier is 1356932016, issued on Jan 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jan 26, 2021.