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Chidyaonga Shalita

Student in an Organized Health Care Education/Training Program in Palo Alto, CA. Individual provider (NPI-1).

NPI number1124874615
StatusActive
Last updated in NPPESApr 25, 2024

Details

NPI
1124874615
Entity type
Individual (NPI-1)
Name
Chidyaonga Shalita
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2024
Certification date
Apr 25, 2024
Last updated
Apr 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

780 Welch Rd # Cj350
Palo Alto, CA 94304-1516

Phone 650-723-4000

Mailing address

780 Welch Rd # Cj350
Palo Alto, CA 94304-1516

Phone 650-723-4000

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