Individual provider · Type 1 NPI

Jennifer Vidal

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

NPI number 1821605098 Active

Practice location

762 Cypress St
San Dimas, CA 91773-3505

Call (909) 599-1227 Map

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 1821605098

Jennifer Vidal's National Provider Identifier is 1821605098, issued on Sep 30, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Dimas, CA. The record was last updated on Sep 30, 2020.