Individual provider · Type 1 NPI

Jason Eugene Keith

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

NPI number 1720864416 Active

Practice location

1481 Windsor Dr
San Bernardino, CA 92404-5416

Call (909) 361-6470 Map

Mailing address

PO Box 4326
Blue Jay, CA 92317-4326

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 1720864416

Jason Eugene Keith's National Provider Identifier is 1720864416, issued on Sep 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 7, 2023.