Isaiah Adkins
Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).
NPI number1700621844
StatusActive
Last updated in NPPESJun 29, 2024
Details
- NPI
- 1700621844
- Entity type
- Individual (NPI-1)
- Name
- Isaiah Adkins
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2024
- Certification date
- Jun 29, 2024
- Last updated
- Jun 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
9055 Balboa AveSan Diego, CA 92123-1509
Phone 619-849-7974
Mailing address
4906 Surfcliff PtSan Diego, CA 92154-8470
Phone 619-510-9546
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