Jacob Street
Jacob Street is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1918 University Ave Ste 2BBerkeley, CA 94704-3264
Phone: (510) 548-9716
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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 | 1265217343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 28, 2023 |
| Last updated in NPPES | August 28, 2023 |
| Certification date | August 28, 2023 |
| Mailing address | 1918 University Ave Ste 2b, Berkeley, CA 94704-3264 |
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