Individual provider · Type 1 NPI

Jesirayla Mali Khamsouk

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

NPI number 1306456124 Active

Practice location

21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947

Call (661) 259-9439 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone 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 1306456124

Jesirayla Mali Khamsouk's National Provider Identifier is 1306456124, issued on Aug 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Clarita, CA. The record was last updated on Aug 19, 2024.