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Jessica Hetherington
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1467083733

Jessica Hetherington is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Jessica Hetherington practices in Santa Rosa, CA. The NPI Number for Jessica Hetherington is 1467083733 and holds a License No. (California).

The current practice location address for Jessica Hetherington is 2255 Challenger Way Ste 107, Santa Rosa, CA and can be reached out via phone at 707-565-4772 and via fax at 707-565-4881.

Location: 2255 Challenger Way Ste 107, Santa Rosa, CA, 95407-5423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467083733
Provider Name
Jessica Hetherington
Credential
Provider Entity Type
Individual
Gender
Female
Address
2255 Challenger Way Ste 107, Santa Rosa, CA, 95407-5423
Phone Number
707-565-4772
Fax Number
707-565-4881
Provider Enumeration Date
01/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JHETHERINGTON 01 CA AGENCY SPECIFIC
institution
Provider Business Practice Location Address Details
Address
2255 Challenger Way Ste 107
City
Santa Rosa
State
California
Zip
95407-5423
Phone Number
707-565-4772
Fax Number
707-565-4881
person
Provider Business Mailing Address Details
Address
2255 Challenger Way Ste 107
City
Santa Rosa
State
California
Zip
95407-5423
Phone Number
707-565-4772
Fax Number
707-565-4881
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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