Individual provider · Type 1 NPI

Jack Faro Vander Stoep Hunt

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

NPI number 1174106843 Active

Practice location

200 Dickinson St., MC# 8218
San Diego, CA 92103

Call (619) 471-0283 Map

Fax (619) 543-2092

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 1174106843

Jack Faro Vander Stoep Hunt's National Provider Identifier is 1174106843, issued on Apr 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Apr 30, 2021.