Individual provider · Type 1 NPI

Jaquelinne Canas-Rodriguez

Student in an Organized Health Care Education/Training Program · Centerville, UT

NPI number 1134083579 Active

Practice location

25 S Main St Ste AND110
Centerville, UT 84014-1840

Mailing address

5437 S 2450 W
Roy, UT 84067-6717

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 1134083579

Jaquelinne Canas-Rodriguez's National Provider Identifier is 1134083579, issued on Dec 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Centerville, UT. The record was last updated on Dec 10, 2025.