Individual provider · Type 1 NPI

Jimmiela Bruessard

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

NPI number 1801413596 Active

Practice location

9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101

Call (916) 533-6335 Map

Mailing address

1704 Miramonte Ave Ste 3
Mountain View, CA 94040-3718

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Behavior Analyst 103K00000XNone 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 1801413596

Jimmiela Bruessard's National Provider Identifier is 1801413596, issued on Jun 29, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elk Grove, CA. The record was last updated on Aug 2, 2022.