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Mike Ervin Jenerette JR.
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1730750225

Mike Ervin Jenerette JR. is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Mike Ervin Jenerette JR. practices in San Diego, CA. The NPI Number for Mike Ervin Jenerette JR. is 1730750225 and holds a License No. (California).

The current practice location address for Mike Ervin Jenerette JR. is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 619-532-7968.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730750225
Provider Name
Mike Ervin Jenerette JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-7000
Phone Number
619-532-7968
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
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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