Individual provider · Type 1 NPI

Jackson Hercules Hauty

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

NPI number 1497457576 Active

Practice location

4150 V Street, Psb 1200
Sacramento, CA 95817

Call (916) 734-5028 Map

Mailing address

221 E 5th St
San Dimas, CA 91773-2111

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.

Other student in an organized health care education/training program providers in Sacramento

See all in Sacramento →

About NPI 1497457576

Jackson Hercules Hauty's National Provider Identifier is 1497457576, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Apr 1, 2023.