Justin Patrick Bacolor
Justin Patrick Bacolor is a Student in an Organized Health Care Education/Training Program in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
55 E Julian StSan Jose, CA 95112-4007
Phone: (408) 918-2667
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1447843495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2021 |
| Last updated in NPPES | February 19, 2021 |
| Certification date | February 19, 2021 |
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