Individual provider · Type 1 NPI

Jeremy Joseph Ahearn

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

NPI number 1336870542 Active

Practice location

9700 W Taron Dr
Elk Grove, CA 95757-8145

Mailing address

822 The Dalles Ave
Sunnyvale, CA 94087-4149

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 1336870542

Jeremy Joseph Ahearn's National Provider Identifier is 1336870542, issued on Jun 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elk Grove, CA. The record was last updated on Jun 19, 2022.