Individual provider · Type 1 NPI

Sidney Lauren Jenks

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

NPI number 1366323016 Active

Practice location

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Call (206) 859-0720 Map

Mailing address

26418 99th Ave SW
Vashon, WA 98070-8431

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 1366323016

Sidney Lauren Jenks's National Provider Identifier is 1366323016, issued on Sep 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Maria, CA. The record was last updated on Sep 9, 2025.