Individual provider · Type 1 NPI

Jacqueline Enciso

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

NPI number 1245121045 Active

Practice location

3900 Lomaland Dr
San Diego, CA 92106-2899

Call (619) 849-2200 Map

Mailing address

8810 Milburn Ave
Spring Valley, CA 91977-5512

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1245121045

Jacqueline Enciso's National Provider Identifier is 1245121045, issued on Jul 10, 2025. 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 Jul 10, 2025.