Jessica Antonio
Student in an Organized Health Care Education/Training Program in Culver City, CA. Individual provider (NPI-1).
NPI number1487581310
StatusActive
Last updated in NPPESMay 5, 2026
Details
- NPI
- 1487581310
- Entity type
- Individual (NPI-1)
- Name
- Jessica Antonio
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2026
- Certification date
- May 5, 2026
- Last updated
- May 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
Phone 310-945-3350
Mailing address
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
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All 285 Student in an Organized Health Care Education/Training Program providers in Culver City · All 4,436 providers in Culver City
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