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Mr. Jordan William Hazzard
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1811370653

Jordan William Hazzard is a Student in an Organized Health Care Education/Training Program based in San Leandro, CA. Jordan William Hazzard practices in Berkeley, CA. The NPI Number for Jordan William Hazzard is 1811370653 and holds a License No. (California).

The current practice location address for Jordan William Hazzard is 1749 Martin Luther King Jr Way, Berkeley, CA and can be reached out via phone at 510-841-8484.

Location: 1749 Martin Luther King Jr Way, Berkeley, CA, 94577-5720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811370653
Provider Name
Jordan William Hazzard
Credential
Provider Entity Type
Individual
Gender
Male
Address
1749 Martin Luther King Jr Way, Berkeley, CA, 94577-5720
Phone Number
510-841-8484
Fax Number
Provider Enumeration Date
06/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1749 Martin Luther King Jr Way
City
Berkeley
State
California
Zip
94709-2139
Phone Number
510-841-8484
Fax Number
person
Provider Business Mailing Address Details
Address
1749 Martin Luther King Jr Way
City
Berkeley
State
California
Zip
94709-2139
Phone Number
510-841-8484
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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