Mr. Alec Jonathan Burckle
Mr. Alec Jonathan Burckle is a Student in an Organized Health Care Education/Training Program in San Jose, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
160 E Virginia St Ste 100San Jose, CA 95112-5865
Phone: (408) 938-2113
Fax: (408) 579-6143
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1881207405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 24, 2020 |
| Last updated in NPPES | August 24, 2020 |
| Certification date | August 24, 2020 |
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