Individual provider · Type 1 NPI

Jackson Watts

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

NPI number 1316463433 Active

Practice location

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078

Call (510) 747-0513 Map

Mailing address

2390 Portland St Apt 205
Los Angeles, CA 90007-1936

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 1316463433

Jackson Watts's National Provider Identifier is 1316463433, issued on Aug 21, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alameda, CA. The record was last updated on Aug 21, 2017.