Individual
KAMILYA RAE SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W UNIVERSITY AVE APT 23, FLAGSTAFF, AZ 86001-6353
(520) 450-3409
Mailing address
600 W UNIVERSITY AVE APT 23, FLAGSTAFF, AZ 86001-6353
(520) 450-3409
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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