location
search-icon
person
Jack O'dea
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1548934110

Jack O'dea is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Jack O'dea practices in Santa Rosa, CA. The NPI Number for Jack O'dea is 1548934110 and holds a License No. (California).

The current practice location address for Jack O'dea is 2447 Summerfield Rd, Santa Rosa, CA and can be reached out via phone at 707-544-3299.

Location: 2447 Summerfield Rd, Santa Rosa, CA, 95405-7815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548934110
Provider Name
Jack O'dea
Credential
Provider Entity Type
Individual
Gender
Male
Address
2447 Summerfield Rd, Santa Rosa, CA, 95405-7815
Phone Number
707-544-3299
Fax Number
Provider Enumeration Date
08/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2447 Summerfield Rd
City
Santa Rosa
State
California
Zip
95405-7815
Phone Number
707-544-3299
Fax Number
person
Provider Business Mailing Address Details
Address
2447 Summerfield Rd
City
Santa Rosa
State
California
Zip
95405-7815
Phone Number
707-544-3299
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.