Jackson Hercules Hauty - Sacramento, CA

Jackson Hercules Hauty

Student in an Organized Health Care Education/Training Program in Sacramento, California

NPI 1497457576

Jackson Hercules Hauty is a Student in an Organized Health Care Education/Training Program based in San Dimas, CA. Jackson Hercules Hauty practices in Sacramento, CA. The NPI Number for Jackson Hercules Hauty is 1497457576 and holds a License No. (California).

The current practice location address for Jackson Hercules Hauty is 4150 V Street, Psb 1200, Sacramento, CA and can be reached out via phone at 916-734-5028.

Location: 4150 V Street, Psb 1200, Sacramento, CA, 91773-2111

NPI Number

1497457576

Provider Name

Jackson Hercules Hauty

Credential

Provider Entity Type

Individual

Gender

Male

Address

4150 V Street, Psb 1200, Sacramento, CA, 91773-2111

Phone Number

916-734-5028

Fax Number

Provider Enumeration Date

03/21/2023

Last Update Date

03/10/2024

Address

4150 V Street, Psb 1200

City

Sacramento

State

California

Zip

95817

Phone Number

916-734-5028

Fax Number

Address

4150 V Street, Psb 1200

City

Sacramento

State

California

Zip

95817

Phone Number

916-734-5028

Fax Number

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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