Individual provider · Type 1 NPI

Jessica Cupp

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

NPI number 1336667443 Active

Practice location

160 E Holt Ave
Pomona, CA 91767-5406

Mailing address

13339 Reis St
Whittier, CA 90605-2843

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 1336667443

Jessica Cupp's National Provider Identifier is 1336667443, issued on Sep 8, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Sep 8, 2017.