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Jacob Venn Baca
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1881459956

Jacob Venn Baca is a Student in an Organized Health Care Education/Training Program based in Seattle, WA. Jacob Venn Baca practices in Tacoma, WA. The NPI Number for Jacob Venn Baca is 1881459956 and holds a License No. (Washington).

The current practice location address for Jacob Venn Baca is 915 S Orchard St, Tacoma, WA and can be reached out via phone at 253-414-7461.

Location: 915 S Orchard St, Tacoma, WA, 98133-9526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881459956
Provider Name
Jacob Venn Baca
Credential
Provider Entity Type
Individual
Gender
Male
Address
915 S Orchard St, Tacoma, WA, 98133-9526
Phone Number
253-414-7461
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
915 S Orchard St
City
Tacoma
State
Washington
Zip
98465-2420
Phone Number
253-414-7461
Fax Number
person
Provider Business Mailing Address Details
Address
915 S Orchard St
City
Tacoma
State
Washington
Zip
98465-2420
Phone Number
253-414-7461
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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