person
Jalen Sullivan
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1326781428

Jalen Sullivan is a Student in an Organized Health Care Education/Training Program based in Yeadon, CA. Jalen Sullivan practices in Oakland, CA. The NPI Number for Jalen Sullivan is 1326781428 and holds a License No. (California).

The current practice location address for Jalen Sullivan is 3100 Telegraph Ave, Oakland, CA and can be reached out via phone at 800-671-6377.

Location: 3100 Telegraph Ave, Oakland, CA, 19050-2843
person
Provider Profile Details
NPI Number
1326781428
Provider Name
Jalen Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3100 Telegraph Ave, Oakland, CA, 19050-2843
Phone Number
800-671-6377
Fax Number
Provider Enumeration Date
04/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Telegraph Ave
City
State
Zip
94609-3239
Phone Number
800-671-6377
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Telegraph Ave
City
State
Zip
94609-3239
Phone Number
800-671-6377
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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