Individual provider · Type 1 NPI

Jacob Ryan Whitfield

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1114694569 Active

Practice location

34101 Farenholt Ave
San Diego, CA 92134-7000

Call (727) 317-7396 Map

Mailing address

6526 Friars Rd Apt 111
San Diego, CA 92108-1087

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman 1710I1002XNone listed
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 1114694569

Jacob Ryan Whitfield's National Provider Identifier is 1114694569, issued on Aug 24, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Feb 22, 2022.