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Jordyn Taylor Eleazar
Student in an Organized Health Care Education/Training Program in South San Francisco, California
NPI 1710570833

Jordyn Taylor Eleazar is a Student in an Organized Health Care Education/Training Program based in South San Francisco, CA. Jordyn Taylor Eleazar practices in South San Francisco, CA. The NPI Number for Jordyn Taylor Eleazar is 1710570833 and holds a License No. (California).

The current practice location address for Jordyn Taylor Eleazar is 204 Hazelwood Dr, South San Francisco, CA and can be reached out via phone at 650-201-5597.

Location: 204 Hazelwood Dr, South San Francisco, CA, 94080-5805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710570833
Provider Name
Jordyn Taylor Eleazar
Credential
Provider Entity Type
Individual
Gender
Female
Address
204 Hazelwood Dr, South San Francisco, CA, 94080-5805
Phone Number
650-201-5597
Fax Number
Provider Enumeration Date
02/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
204 Hazelwood Dr
City
South San Francisco
State
California
Zip
94080-5805
Phone Number
650-201-5597
Fax Number
person
Provider Business Mailing Address Details
Address
204 Hazelwood Dr
City
South San Francisco
State
California
Zip
94080-5805
Phone Number
650-201-5597
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
225500000X
License No.
()
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
person
Provider's Taxonomy Details 2
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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