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Jessica Shank
Student in an Organized Health Care Education/Training Program in Petaluma, California
NPI 1326460940

Jessica Shank is a Student in an Organized Health Care Education/Training Program based in Petaluma, CA. Jessica Shank practices in Petaluma, CA. The NPI Number for Jessica Shank is 1326460940 and holds a License No. (California).

The current practice location address for Jessica Shank is 1500 Petaluma Blvd S, Petaluma, CA and can be reached out via phone at 707-765-8488.

Location: 1500 Petaluma Blvd S, Petaluma, CA, 94952-5545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326460940
Provider Name
Jessica Shank
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 Petaluma Blvd S, Petaluma, CA, 94952-5545
Phone Number
707-765-8488
Fax Number
Provider Enumeration Date
01/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Petaluma Blvd S
City
Petaluma
State
California
Zip
94952-5545
Phone Number
707-765-8488
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Petaluma Blvd S
City
Petaluma
State
California
Zip
94952-5545
Phone Number
707-765-8488
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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