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Jamie Kehaulani Humphries Widger, PASTUDENT
Student in an Organized Health Care Education/Training Program in La Mirada, California
NPI 1053185918

Jamie Kehaulani Humphries Widger is a Student in an Organized Health Care Education/Training Program based in La Mirada, CA. Jamie Kehaulani Humphries Widger practices in La Mirada, CA and has the professional credentials of PASTUDENT. The NPI Number for Jamie Kehaulani Humphries Widger is 1053185918 and holds a License No. (California).

The current practice location address for Jamie Kehaulani Humphries Widger is 15625 Imperial Hwy, La Mirada, CA and can be reached out via phone at 562-902-3000 and via fax at 562-902-9593.

Location: 15625 Imperial Hwy, La Mirada, CA, 90638-1627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053185918
Provider Name
Jamie Kehaulani Humphries Widger
Credential
PASTUDENT
Provider Entity Type
Individual
Gender
Female
Address
15625 Imperial Hwy, La Mirada, CA, 90638-1627
Phone Number
562-902-3000
Fax Number
562-902-9593
Provider Enumeration Date
11/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15625 Imperial Hwy
City
La Mirada
State
California
Zip
90638-1627
Phone Number
562-902-3000
Fax Number
562-902-9593
person
Provider Business Mailing Address Details
Address
15625 Imperial Hwy
City
La Mirada
State
California
Zip
90638-1627
Phone Number
562-902-3000
Fax Number
562-902-9593
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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