Individual provider · Type 1 NPI

Jack Gray Sample

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

NPI number 1255064572 Active

Practice location

4210 Judah St Apt 304
San Francisco, CA 94122-1016

Call (714) 907-5033 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 1255064572

Jack Gray Sample's National Provider Identifier is 1255064572, issued on Jul 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 5, 2022.