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Ms. Jessica Stanley, DMD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1558050856

Jessica Stanley is a Student in an Organized Health Care Education/Training Program based in Newburgh, CA. Jessica Stanley practices in San Diego, CA and has the professional credentials of DMD. The NPI Number for Jessica Stanley is 1558050856 and holds a License No. (California).

The current practice location address for Jessica Stanley is 4060 Fairmount Ave, San Diego, CA and can be reached out via phone at 914-621-6443.

Location: 4060 Fairmount Ave, San Diego, CA, 12550-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558050856
Provider Name
Jessica Stanley
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4060 Fairmount Ave, San Diego, CA, 12550-2336
Phone Number
914-621-6443
Fax Number
Provider Enumeration Date
05/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4060 Fairmount Ave
City
San Diego
State
California
Zip
92105-1608
Phone Number
914-621-6443
Fax Number
person
Provider Business Mailing Address Details
Address
4060 Fairmount Ave
City
San Diego
State
California
Zip
92105-1608
Phone Number
914-621-6443
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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