Jessica Rose Real

NPI #1023781325 in Northridge, California

Provider Information

NPI Number: 1023781325
Entity Type: Individual
Name: Jessica Rose Real
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 1, 2021
Last Updated: Jun 24, 2022

Practice Location

Address: 8330 RESEDA BLVD
City: Northridge
State: California
ZIP Code: 91324-4619
Phone: (888) 777-8565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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