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Jordan Joseph Granata
Student in an Organized Health Care Education/Training Program in Carlsbad, California
NPI 1366989030

Jordan Joseph Granata is a Student in an Organized Health Care Education/Training Program based in Carlsbad, CA. Jordan Joseph Granata practices in Carlsbad, CA. The NPI Number for Jordan Joseph Granata is 1366989030 and holds a License No. (California).

The current practice location address for Jordan Joseph Granata is 2892 Jefferson St, Carlsbad, CA and can be reached out via phone at 760-434-9500.

Location: 2892 Jefferson St, Carlsbad, CA, 92008-1719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366989030
Provider Name
Jordan Joseph Granata
Credential
Provider Entity Type
Individual
Gender
Male
Address
2892 Jefferson St, Carlsbad, CA, 92008-1719
Phone Number
760-434-9500
Fax Number
Provider Enumeration Date
01/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2892 Jefferson St
City
Carlsbad
State
California
Zip
92008-1719
Phone Number
760-434-9500
Fax Number
person
Provider Business Mailing Address Details
Address
2892 Jefferson St
City
Carlsbad
State
California
Zip
92008-1719
Phone Number
760-434-9500
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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