Individual provider · Type 1 NPI

Jessie Shorts

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

NPI number 1689064453 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Call (805) 781-3535 Map

Mailing address

742 Boysen Ave Apt 6
San Luis Obispo, CA 93405-1342

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 1689064453

Jessie Shorts's National Provider Identifier is 1689064453, issued on Jan 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 15, 2017.