Kayla Jacks

NPI #1295282515 in West Hills, California

Provider Information

NPI Number: 1295282515
Entity Type: Individual
Name: Kayla Jacks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 2, 2016
Last Updated: Sep 2, 2016

Practice Location

Address: 23273 INGOMAR ST
City: West Hills
State: California
ZIP Code: 91304-4426
Phone: (818) 854-4510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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