Individual provider · Type 1 NPI
Jajin Koo
Community Health Registered Nurse · Stockton, CA
NPI number
1366800245
Active
Practice location
1601 E Hazelton Ave
Stockton, CA 95205-6229
Fax (209) 468-8222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 842337 (CA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1366800245
Jajin Koo's National Provider Identifier is 1366800245, issued on Feb 5, 2016. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Stockton, CA. The record was last updated on Feb 5, 2016.