Individual provider · Type 1 NPI

Jennifer Ibanez

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

NPI number 1831668425 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 259-2273

Mailing address

266 Dollar Mountain Dr
San Jose, CA 95127-1816

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 1831668425

Jennifer Ibanez's National Provider Identifier is 1831668425, issued on Nov 13, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Aug 28, 2021.