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Andre Conway, IDC STUDENT
NPI 1356932016 · on the registry since 2021 · sole proprietor
Practice
- Address
- 34101 Farenholt Ave
San Diego, CA 92134 - Phone
- (619) 532-9712
- Organisation at this address
- United States Navy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 483
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Sex
- Male
- Record last updated
- 2021-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California