Individual provider · Type 1 NPI

Justin Patrick Bacolor

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

NPI number 1447843495 Active

Practice location

55 E Julian St
San Jose, CA 95112-4007

Mailing address

2658 Wildhorse Trail Way
Chula Vista, CA 91915-2542

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 1447843495

Justin Patrick Bacolor's National Provider Identifier is 1447843495, issued on Feb 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Feb 19, 2021.