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Jessica D Leos
Student in an Organized Health Care Education/Training Program in South Pasadena, California
NPI 1447021480

Jessica D Leos is a Student in an Organized Health Care Education/Training Program based in South Pasadena, CA. Jessica D Leos practices in South Pasadena, CA. The NPI Number for Jessica D Leos is 1447021480 and holds a License No. (California).

The current practice location address for Jessica D Leos is 205 Pasadena Ave, South Pasadena, CA and can be reached out via phone at 323-344-5550.

Location: 205 Pasadena Ave, South Pasadena, CA, 91030-2919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447021480
Provider Name
Jessica D Leos
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 Pasadena Ave, South Pasadena, CA, 91030-2919
Phone Number
323-344-5550
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7667 01 CA MEDI-CAL
7708 01 CA MEDI-CAL
7184 01 CA MEDI-CAL
7368 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
205 Pasadena Ave
City
South Pasadena
State
California
Zip
91030-2919
Phone Number
323-344-5550
Fax Number
person
Provider Business Mailing Address Details
Address
205 Pasadena Ave
City
South Pasadena
State
California
Zip
91030-2919
Phone Number
323-344-5550
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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