Individual provider · Type 1 NPI

Jeremy Michael Wilson

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

NPI number 1417787169 Active

Practice location

33353 Yucaipa Blvd
Yucaipa, CA 92399-2018

Call (951) 465-3664 Map

Mailing address

1907 Fitzgerald Ave
San Jacinto, CA 92583-6068

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 1417787169

Jeremy Michael Wilson's National Provider Identifier is 1417787169, issued on Aug 7, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Yucaipa, CA. The record was last updated on Aug 7, 2024.