Shelby J Worthington

NPI #1083444053 in Pocatello, Idaho

Provider Information

NPI Number: 1083444053
Entity Type: Individual
Name: Shelby J Worthington
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 5, 2024
Last Updated: Aug 5, 2024

Practice Location

Address: 921 S 8TH AVE STOP 8253
City: Pocatello
State: Idaho
ZIP Code: 83201-5377
Phone: (208) 282-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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