Individual provider · Type 1 NPI

Jeremiah Thompson

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1831866615 Active

Practice location

1622 4th St
Santa Rosa, CA 95404-4020

Call (707) 583-9777 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 1831866615

Jeremiah Thompson's National Provider Identifier is 1831866615, issued on Aug 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 27, 2021.