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Alexandra Jackelyn Miller
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1396486882

Alexandra Jackelyn Miller is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Alexandra Jackelyn Miller practices in San Diego, CA. The NPI Number for Alexandra Jackelyn Miller is 1396486882 and holds a License No. (California).

The current practice location address for Alexandra Jackelyn Miller is 4510 Executive Dr, San Diego, CA and can be reached out via phone at 858-534-8019.

Location: 4510 Executive Dr, San Diego, CA, 92121-3029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396486882
Provider Name
Alexandra Jackelyn Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
4510 Executive Dr, San Diego, CA, 92121-3029
Phone Number
858-534-8019
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4510 Executive Dr
City
San Diego
State
California
Zip
92121-3021
Phone Number
858-534-8019
Fax Number
person
Provider Business Mailing Address Details
Address
4510 Executive Dr
City
San Diego
State
California
Zip
92121-3021
Phone Number
858-534-8019
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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