Individual provider · Type 1 NPI

Jessica Sonia Panduro

Student in an Organized Health Care Education/Training Program · Centreville, VA

NPI number 1154090280 Active

Practice location

14812 London Towne Sq
Centreville, VA 20120-1840

Call (571) 282-7442 Map

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 1154090280

Jessica Sonia Panduro's National Provider Identifier is 1154090280, issued on Sep 11, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Centreville, VA. The record was last updated on Sep 11, 2021.