Individual provider · Type 1 NPI

Shonnica D. Croom

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

NPI number 1669206041 Active

Practice location

13001 Ramona Blvd
Baldwin Park, CA 91706-3752

Call (626) 373-2900 Map

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711

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 1669206041

Shonnica D. Croom's National Provider Identifier is 1669206041, issued on Aug 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baldwin Park, CA. The record was last updated on Aug 28, 2024.