Individual provider · Type 1 NPI

Jeremy Pannell Ii

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

NPI number 1376663328 Active

Practice location

1400 K St
Modesto, CA 95354-1018

Call (209) 523-4573 Map

Mailing address

6326 Leaflet Ln
Hughson, CA 95326-9124

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 1376663328

Jeremy Pannell Ii's National Provider Identifier is 1376663328, issued on Mar 30, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.