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Savannah C Jackson
Student in an Organized Health Care Education/Training Program in Oceanside, California
NPI 1063084606

Savannah C Jackson is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Savannah C Jackson practices in Oceanside, CA. The NPI Number for Savannah C Jackson is 1063084606 and holds a License No. (California).

The current practice location address for Savannah C Jackson is 3605 Vista Way Unit 258, Oceanside, CA and can be reached out via phone at 760-547-1000.

Location: 3605 Vista Way Unit 258, Oceanside, CA, 92130-7629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063084606
Provider Name
Savannah C Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3605 Vista Way Unit 258, Oceanside, CA, 92130-7629
Phone Number
760-547-1000
Fax Number
Provider Enumeration Date
07/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3605 Vista Way Unit 258
City
Oceanside
State
California
Zip
92056-4565
Phone Number
760-547-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3605 Vista Way Unit 258
City
Oceanside
State
California
Zip
92056-4565
Phone Number
760-547-1000
Fax Number
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.
(California)
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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