Individual provider · Type 1 NPI

Janell Koide

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

NPI number 1619467404 Active

Practice location

39155 Liberty St Ste E500
Fremont, CA 94538-1516

Call (510) 574-2100 Map

Mailing address

33460 Caliban Dr
Fremont, CA 94555-2014

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 1619467404

Janell Koide's National Provider Identifier is 1619467404, issued on May 16, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fremont, CA. The record was last updated on May 16, 2018.