Jacqueline Uitz
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1619709375
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1619709375
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Uitz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2024
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1540 Alcazar StreetChp 133
Los Angeles, CA 90089
Phone 323-442-1851
Mailing address
1540 Alcazar StreetChp 133
Los Angeles, CA 90089
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