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Jackson Miles Mcclain
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1134987647

Jackson Miles Mcclain is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Jackson Miles Mcclain practices in San Diego, CA. The NPI Number for Jackson Miles Mcclain is 1134987647 and holds a License No. (California).

The current practice location address for Jackson Miles Mcclain is 5500 Campanile Dr, San Diego, CA and can be reached out via phone at 510-833-4127.

Location: 5500 Campanile Dr, San Diego, CA, 94702-1813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134987647
Provider Name
Jackson Miles Mcclain
Credential
Provider Entity Type
Individual
Gender
Male
Address
5500 Campanile Dr, San Diego, CA, 94702-1813
Phone Number
510-833-4127
Fax Number
Provider Enumeration Date
03/08/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
510-833-4127
Fax Number
person
Provider Business Mailing Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
510-833-4127
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.
()
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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