Individual provider · Type 1 NPI

Jacqueline Holland

Student in an Organized Health Care Education/Training Program · Canoga Park, CA

NPI number 1003623943 Active

Practice location

7038 Owensmouth Ave
Canoga Park, CA 91303-3198

Call (818) 347-8565 Map

Mailing address

22647 Ventura Blvd # 183
Woodland Hills, CA 91364-1416

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1003623943

Jacqueline Holland's National Provider Identifier is 1003623943, issued on Dec 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canoga Park, CA. The record was last updated on Dec 13, 2024.