Jeremy Joseph Ahearn
Student in an Organized Health Care Education/Training Program in Elk Grove, CA. Individual provider (NPI-1).
NPI number1336870542
StatusActive
Last updated in NPPESJun 19, 2022
Details
- NPI
- 1336870542
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Joseph Ahearn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2022
- Certification date
- Jun 19, 2022
- Last updated
- Jun 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
9700 W Taron DrElk Grove, CA 95757-8145
Phone 916-686-7300
Mailing address
822 The Dalles AveSunnyvale, CA 94087-4149
Phone 408-245-2558
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All 84 Student in an Organized Health Care Education/Training Program providers in Elk Grove · All 4,410 providers in Elk Grove
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