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Jacqueline Rosas, STUDENT
Student in an Organized Health Care Education/Training Program in Crestline, California
NPI 1699552737

Jacqueline Rosas is a Student in an Organized Health Care Education/Training Program based in Crestline, CA. Jacqueline Rosas practices in Crestline, CA and has the professional credentials of STUDENT. The NPI Number for Jacqueline Rosas is 1699552737 and holds a License No. (California).

The current practice location address for Jacqueline Rosas is 340 Hwy 138, Crestline, CA and can be reached out via phone at 909-827-2324.

Location: 340 Hwy 138, Crestline, CA, 92325-6300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699552737
Provider Name
Jacqueline Rosas
Credential
STUDENT
Provider Entity Type
Individual
Gender
Female
Address
340 Hwy 138, Crestline, CA, 92325-6300
Phone Number
909-827-2324
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Hwy 138
City
Crestline
State
California
Zip
92325
Phone Number
909-827-2324
Fax Number
person
Provider Business Mailing Address Details
Address
340 Hwy 138
City
Crestline
State
California
Zip
92325
Phone Number
909-827-2324
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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