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Jeremiah Thompson
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1831866615

Jeremiah Thompson is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Jeremiah Thompson practices in Santa Rosa, CA. The NPI Number for Jeremiah Thompson is 1831866615 and holds a License No. (California).

The current practice location address for Jeremiah Thompson is 1622 4Th St, Santa Rosa, CA and can be reached out via phone at 707-583-9777.

Location: 1622 4Th St, Santa Rosa, CA, 95404-4020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831866615
Provider Name
Jeremiah Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1622 4Th St, Santa Rosa, CA, 95404-4020
Phone Number
707-583-9777
Fax Number
Provider Enumeration Date
08/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1622 4Th St
City
Santa Rosa
State
California
Zip
95404-4020
Phone Number
707-583-9777
Fax Number
person
Provider Business Mailing Address Details
Address
1622 4Th St
City
Santa Rosa
State
California
Zip
95404-4020
Phone Number
707-583-9777
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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