Tanner Gustavsen
Tanner Gustavsen is a Student in an Organized Health Care Education/Training Program in LA Jolla, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
LA Jolla, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1952978082 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 8, 2021 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
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