Individual provider · Type 1 NPI

Jennifer Krystal Durazo

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

NPI number 1609420728 Active

Practice location

97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221

Call (209) 465-1080 Map

Fax (209) 465-2709

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 1609420728

Jennifer Krystal Durazo's National Provider Identifier is 1609420728, issued on Jul 26, 2019. 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 May 18, 2026.