Jesse Eugene Sierra
Student in an Organized Health Care Education/Training Program in San Bernardino, CA. Individual provider (NPI-1).
NPI number1295618924
StatusActive
Last updated in NPPESSep 24, 2025
Details
- NPI
- 1295618924
- Entity type
- Individual (NPI-1)
- Name
- Jesse Eugene Sierra
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2025
- Certification date
- Sep 24, 2025
- Last updated
- Sep 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
1950 S Sunwest Ln Ste 200San Bernardino, CA 92408-3248
Phone 909-252-4017
Mailing address
1950 S Sunwest Ln Ste 200San Bernardino, CA 92408-3248
Phone 909-252-4017
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All 303 Student in an Organized Health Care Education/Training Program providers in San Bernardino · All 7,202 providers in San Bernardino
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