Individual provider · Type 1 NPI

Renato Jeremy Balderama

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

NPI number 1114780269 Active

Practice location

3601 Pacific Ave
Stockton, CA 95211-0110

Call (209) 946-2588 Map

Mailing address

2190 Mill Rd
Novato, CA 94947-3743

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 1114780269

Renato Jeremy Balderama's National Provider Identifier is 1114780269, issued on Feb 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Feb 1, 2024.