Individual provider · Type 1 NPI

Shamier M. Theimmortalone

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

NPI number 1740073659 Active

Practice location

28108 Belfry Cir
Moreno Valley, CA 92555-5414

Call (951) 232-3062 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone 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 1740073659

Shamier M. Theimmortalone's National Provider Identifier is 1740073659, issued on May 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jun 2, 2025.