person
Jordan Michael Petersen
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1952989816

Jordan Michael Petersen is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Jordan Michael Petersen practices in Oakland, CA. The NPI Number for Jordan Michael Petersen is 1952989816 and holds a License No. (California).

The current practice location address for Jordan Michael Petersen is 1411 East 31St Street, Qic 22123, Oakland, CA and can be reached out via phone at 510-437-4564.

Location: 1411 East 31St Street, Qic 22123, Oakland, CA, 94602
person
Provider Profile Details
NPI Number
1952989816
Provider Name
Jordan Michael Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1411 East 31St Street, Qic 22123, Oakland, CA, 94602
Phone Number
510-437-4564
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1411 East 31St Street, Qic 22123
City
State
Zip
94602
Phone Number
510-437-4564
Fax Number
person
Provider Business Mailing Address Details
Address
1411 East 31St Street, Qic 22123
City
State
Zip
94602
Phone Number
510-437-4564
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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