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Chantal Tauben Jackson
Student in an Organized Health Care Education/Training Program in Santa Ana, California
NPI 1952980138

Chantal Tauben Jackson is a Student in an Organized Health Care Education/Training Program based in Santa Ana, CA. Chantal Tauben Jackson practices in Santa Ana, CA. The NPI Number for Chantal Tauben Jackson is 1952980138 and holds a License No. (California).

The current practice location address for Chantal Tauben Jackson is 1900 E 4Th St, Santa Ana, CA and can be reached out via phone at 833-574-2273.

Location: 1900 E 4Th St, Santa Ana, CA, 92705-3910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952980138
Provider Name
Chantal Tauben Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1900 E 4Th St, Santa Ana, CA, 92705-3910
Phone Number
833-574-2273
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 E 4Th St
City
Santa Ana
State
California
Zip
92705-3910
Phone Number
833-574-2273
Fax Number
person
Provider Business Mailing Address Details
Address
1900 E 4Th St
City
Santa Ana
State
California
Zip
92705-3910
Phone Number
833-574-2273
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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