Omar Sheppard

NPI 1154593986 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1154593986
Gender Male
Enumeration Date 04/01/2008
Last Updated 04/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
600 B ST
SAN DIEGO CA, 92101-4520, US
Phone (619) 615-0439
Fax
Business Location
600 B ST
SAN DIEGO CA, 92101-4520, US
Phone (619) 615-0439
Fax
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number 30583
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According to our database, Omar Sheppard NPI is 1154593986, taxonomy code is 164X00000X and license number is 30583, license state is located at California. Omar Sheppard physically located at 600 B St, San Diego CA, 92101-4520. NPI Number Omar Sheppard has the Individual type.

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1154593986 NPI number is provided on an as is basis without warranty of any kind. 1154593986 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Sheppard are for informational purposes only.