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Mario Jamar Mack JR.
Student in an Organized Health Care Education/Training Program in Chula Vista, California
NPI 1093412157

Mario Jamar Mack JR. is a Student in an Organized Health Care Education/Training Program based in Chula Vista, CA. Mario Jamar Mack JR. practices in Chula Vista, CA. The NPI Number for Mario Jamar Mack JR. is 1093412157 and holds a License No. (California).

The current practice location address for Mario Jamar Mack JR. is 2304 Spanish Bay Rd, Chula Vista, CA and can be reached out via phone at 619-607-8450.

Location: 2304 Spanish Bay Rd, Chula Vista, CA, 91915-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093412157
Provider Name
Mario Jamar Mack JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2304 Spanish Bay Rd, Chula Vista, CA, 91915-2108
Phone Number
619-607-8450
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2304 Spanish Bay Rd
City
Chula Vista
State
California
Zip
91915-2108
Phone Number
619-607-8450
Fax Number
person
Provider Business Mailing Address Details
Address
2304 Spanish Bay Rd
City
Chula Vista
State
California
Zip
91915-2108
Phone Number
619-607-8450
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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