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Mr. Jesse Yisu Han
Student in an Organized Health Care Education/Training Program in Anaheim, California
NPI 1487355319

Jesse Yisu Han is a Student in an Organized Health Care Education/Training Program based in Anaheim, CA. Jesse Yisu Han practices in Anaheim, CA. The NPI Number for Jesse Yisu Han is 1487355319 and holds a License No. (California).

The current practice location address for Jesse Yisu Han is 1210 S Berkley St, Anaheim, CA and can be reached out via phone at 714-673-2236.

Location: 1210 S Berkley St, Anaheim, CA, 92804-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487355319
Provider Name
Jesse Yisu Han
Credential
Provider Entity Type
Individual
Gender
Male
Address
1210 S Berkley St, Anaheim, CA, 92804-4607
Phone Number
714-673-2236
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1210 S Berkley St
City
Anaheim
State
California
Zip
92804-4607
Phone Number
714-673-2236
Fax Number
person
Provider Business Mailing Address Details
Address
1210 S Berkley St
City
Anaheim
State
California
Zip
92804-4607
Phone Number
714-673-2236
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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