Organization · Type 2 NPI
Community Re-Entry Program
Student in an Organized Health Care Education/Training Program · Stockton, CA
NPI number
1477896173
Active
Practice location
3601 Pacific Ave
Stockton, CA 95211-0110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1477896173
Community Re-Entry Program's National Provider Identifier is 1477896173, issued on Apr 1, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Apr 1, 2013.