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Jacqueline Tak
Student in an Organized Health Care Education/Training Program in Gardena, California
NPI 1649468695

Jacqueline Tak is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Jacqueline Tak practices in Gardena, CA. The NPI Number for Jacqueline Tak is 1649468695 and holds a License No. (California).

The current practice location address for Jacqueline Tak is 14112 S Kingsley Dr, Gardena, CA and can be reached out via phone at 310-217-7331.

Location: 14112 S Kingsley Dr, Gardena, CA, 90034-6518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649468695
Provider Name
Jacqueline Tak
Credential
Provider Entity Type
Individual
Gender
Female
Address
14112 S Kingsley Dr, Gardena, CA, 90034-6518
Phone Number
310-217-7331
Fax Number
Provider Enumeration Date
10/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14112 S Kingsley Dr
City
Gardena
State
California
Zip
90249-3018
Phone Number
310-217-7331
Fax Number
person
Provider Business Mailing Address Details
Address
14112 S Kingsley Dr
City
Gardena
State
California
Zip
90249-3018
Phone Number
310-217-7331
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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