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Justin James Gudilano Donato
Student in an Organized Health Care Education/Training Program in Antioch, California
NPI 1407540560

Justin James Gudilano Donato is a Student in an Organized Health Care Education/Training Program based in Antioch, CA. Justin James Gudilano Donato practices in Antioch, CA. The NPI Number for Justin James Gudilano Donato is 1407540560 and holds a License No. (California).

The current practice location address for Justin James Gudilano Donato is 5205 Fairside Way, Antioch, CA and can be reached out via phone at 925-301-6923.

Location: 5205 Fairside Way, Antioch, CA, 94531-9018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407540560
Provider Name
Justin James Gudilano Donato
Credential
Provider Entity Type
Individual
Gender
Male
Address
5205 Fairside Way, Antioch, CA, 94531-9018
Phone Number
925-301-6923
Fax Number
Provider Enumeration Date
06/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5205 Fairside Way
City
Antioch
State
California
Zip
94531-9018
Phone Number
925-301-6923
Fax Number
person
Provider Business Mailing Address Details
Address
5205 Fairside Way
City
Antioch
State
California
Zip
94531-9018
Phone Number
925-301-6923
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.
(California)
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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