Individual provider · Type 1 NPI

Justin James Gudilano Donato

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

NPI number 1407540560 Active

Practice location

5205 Fairside Way
Antioch, CA 94531-9018

Call (925) 301-6923 Map

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 1407540560

Justin James Gudilano Donato's National Provider Identifier is 1407540560, issued on Jun 2, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Antioch, CA. The record was last updated on Jun 2, 2023.