Jackson Watts
Jackson Watts is a Student in an Organized Health Care Education/Training Program in Alameda, California. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1080 Marina Village Pkwy Ste 100Alameda, CA 94501-1078
Phone: (510) 747-0513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1316463433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2017 |
| Last updated in NPPES | August 21, 2017 |
| Mailing address | 2390 Portland St Apt 205, Los Angeles, CA 90007-1936 |
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