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Jennifer Crandall
Student in an Organized Health Care Education/Training Program in Montclair, California
NPI 1518513431

Jennifer Crandall is a Student in an Organized Health Care Education/Training Program based in Montclair, CA. Jennifer Crandall practices in Montclair, CA. The NPI Number for Jennifer Crandall is 1518513431 and holds a License No. (California).

The current practice location address for Jennifer Crandall is 11182 Poulsen Ave, Montclair, CA and can be reached out via phone at 909-696-9348.

Location: 11182 Poulsen Ave, Montclair, CA, 91763-6513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518513431
Provider Name
Jennifer Crandall
Credential
Provider Entity Type
Individual
Gender
Female
Address
11182 Poulsen Ave, Montclair, CA, 91763-6513
Phone Number
909-696-9348
Fax Number
Provider Enumeration Date
08/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11182 Poulsen Ave
City
Montclair
State
California
Zip
91763-6513
Phone Number
909-696-9348
Fax Number
person
Provider Business Mailing Address Details
Address
11182 Poulsen Ave
City
Montclair
State
California
Zip
91763-6513
Phone Number
909-696-9348
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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