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Jesse Jittrikawiphol, DO
Student in an Organized Health Care Education/Training Program in Colton, California
NPI 1902256852

Jesse Jittrikawiphol is a Student in an Organized Health Care Education/Training Program based in Colton, CA. Jesse Jittrikawiphol practices in Colton, CA and has the professional credentials of DO. The NPI Number for Jesse Jittrikawiphol is 1902256852 and holds a License No. (California).

The current practice location address for Jesse Jittrikawiphol is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 855-422-8029.

Location: 400 N Pepper Ave, Colton, CA, 92324-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902256852
Provider Name
Jesse Jittrikawiphol
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
400 N Pepper Ave, Colton, CA, 92324-1801
Phone Number
855-422-8029
Fax Number
Provider Enumeration Date
06/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
855-422-8029
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
855-422-8029
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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