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Jackson Watts
Student in an Organized Health Care Education/Training Program in Alameda, California
NPI 1316463433

Jackson Watts is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Jackson Watts practices in Alameda, CA. The NPI Number for Jackson Watts is 1316463433 and holds a License No. (California).

The current practice location address for Jackson Watts is 1080 Marina Village Pkwy Ste 100, Alameda, CA and can be reached out via phone at 510-747-0513.

Location: 1080 Marina Village Pkwy Ste 100, Alameda, CA, 90007-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316463433
Provider Name
Jackson Watts
Credential
Provider Entity Type
Individual
Gender
Male
Address
1080 Marina Village Pkwy Ste 100, Alameda, CA, 90007-1936
Phone Number
510-747-0513
Fax Number
Provider Enumeration Date
08/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1080 Marina Village Pkwy Ste 100
City
Alameda
State
California
Zip
94501-1078
Phone Number
510-747-0513
Fax Number
person
Provider Business Mailing Address Details
Address
1080 Marina Village Pkwy Ste 100
City
Alameda
State
California
Zip
94501-1078
Phone Number
510-747-0513
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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