Jacquelyn Shader is a student in an organized health care education training program in Long Beach, CA. The provider is 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. Jacquelyn Shader NPI is 1477115897. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1301 PINE AVE
LONG BEACH, CA
ZIP 90813-124
Phone: (562) 595-1195
The enumeration date for this NPI number is 7/5/2019 and was last updated on 7/5/2019.