Jessica Dian Bryant

NPI #1194332189 in Venice, California

Provider Information

NPI Number: 1194332189
Entity Type: Individual
Name: Jessica Dian Bryant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 24, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 733-7654

Specialties & Taxonomy Codes

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

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