Kayla Jacks
Kayla Jacks is a Student in an Organized Health Care Education/Training Program in West Hills, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
23273 Ingomar StWest Hills, CA 91304-4426
Phone: (818) 854-4510
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence F53651558 (CA) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence F53651558 (CA) |
Record details
| NPI number | 1295282515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 2, 2016 |
| Last updated in NPPES | September 2, 2016 |
| Mailing address | 23273 Ingomar St, West Hills, CA 91304-4426 |
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