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Jacy Lynn Resendez
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1275014771

Jacy Lynn Resendez is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Jacy Lynn Resendez practices in Santa Rosa, CA. The NPI Number for Jacy Lynn Resendez is 1275014771 and holds a License No. (California).

The current practice location address for Jacy Lynn Resendez is 2225 Challenger Way, Santa Rosa, CA and can be reached out via phone at 707-565-6900.

Location: 2225 Challenger Way, Santa Rosa, CA, 95401-6003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275014771
Provider Name
Jacy Lynn Resendez
Credential
Provider Entity Type
Individual
Gender
Female
Address
2225 Challenger Way, Santa Rosa, CA, 95401-6003
Phone Number
707-565-6900
Fax Number
Provider Enumeration Date
08/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2225 Challenger Way
City
Santa Rosa
State
California
Zip
95407-5441
Phone Number
707-565-6900
Fax Number
person
Provider Business Mailing Address Details
Address
2225 Challenger Way
City
Santa Rosa
State
California
Zip
95407-5441
Phone Number
707-565-6900
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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