Individual provider · Type 1 NPI

Jacqueline Villalta

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

NPI number 1144137225 Active

Practice location

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Call (951) 360-4175 Map

Mailing address

4568 Felspar St
Jurupa Valley, CA 92509-3017

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 1144137225

Jacqueline Villalta's National Provider Identifier is 1144137225, issued on Aug 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jurupa Valley, CA. The record was last updated on Aug 25, 2026.