Individual provider · Type 1 NPI

Jennifer Wahonick

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

NPI number 1154801066 Active

Practice location

405 E Pine St
Stockton, CA 95204-5522

Call (209) 464-5519 Map

Mailing address

3601 Pacific Ave
Stockton, CA 95211-0197

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 1154801066

Jennifer Wahonick's National Provider Identifier is 1154801066, issued on Aug 20, 2018. 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 Aug 20, 2018.