Individual provider · Type 1 NPI

Jessica Mariane Patricio Rezende

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

NPI number 1215856554 Active

Practice location

64 Edith St
Petaluma, CA 94952-3272

Call (707) 364-6050 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 1215856554

Jessica Mariane Patricio Rezende's National Provider Identifier is 1215856554, issued on Jul 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Petaluma, CA. The record was last updated on Aug 4, 2026.