Individual provider · Type 1 NPI

Jordyn Taylor Eleazar

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

NPI number 1710570833 Active

Practice location

204 Hazelwood Dr
South San Francisco, CA 94080-5805

Call (650) 201-5597 Map

Specialties and licenses

TaxonomyCodeLicense
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000XNone listed
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 1710570833

Jordyn Taylor Eleazar's National Provider Identifier is 1710570833, 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 South San Francisco, CA. The record was last updated on Feb 19, 2021.