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Jordan Montgomery Vasu
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1538933312

Jordan Montgomery Vasu is a Student in an Organized Health Care Education/Training Program based in Laguna Niguel, CA. Jordan Montgomery Vasu practices in Loma Linda, CA. The NPI Number for Jordan Montgomery Vasu is 1538933312 and holds a License No. (California).

The current practice location address for Jordan Montgomery Vasu is 11130 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-8577.

Location: 11130 Anderson St, Loma Linda, CA, 92677-8916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538933312
Provider Name
Jordan Montgomery Vasu
Credential
Provider Entity Type
Individual
Gender
Male
Address
11130 Anderson St, Loma Linda, CA, 92677-8916
Phone Number
909-558-8577
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11130 Anderson St
City
Loma Linda
State
California
Zip
92350-1729
Phone Number
909-558-8577
Fax Number
person
Provider Business Mailing Address Details
Address
11130 Anderson St
City
Loma Linda
State
California
Zip
92350-1729
Phone Number
909-558-8577
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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