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Jeremy Pannell II
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1376663328

Jeremy Pannell II is a Student in an Organized Health Care Education/Training Program based in Hughson, CA. Jeremy Pannell II practices in Modesto, CA. The NPI Number for Jeremy Pannell II is 1376663328 and holds a License No. (California).

The current practice location address for Jeremy Pannell II is 1400 K St, Modesto, CA and can be reached out via phone at 209-523-4573. You can also correspond with Jeremy Pannell II through the mailing address at 6326 LEAFLET LN, HUGHSON, CA - 95326-9124 (mailing address contact number: ).

Location: 1400 K St, Modesto, CA, 95326-9124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376663328
Provider Name
Jeremy Pannell II
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 K St, Modesto, CA, 95326-9124
Phone Number
209-523-4573
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 K St
City
Modesto
State
California
Zip
95354-1018
Phone Number
209-523-4573
Fax Number
person
Provider Business Mailing Address Details
Address
6326 Leaflet Ln
City
Hughson
State
California
Zip
95326-9124
Phone Number
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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