Jackelyn Anty-Garcia
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Yucaipa, CA
NPI 1417780693 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1417780693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 12587 3Rd St
Yucaipa, CA 92399-4542 - Phone
- (909) 492-2839
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
12587 3Rd St
Yucaipa, CA 92399-4542
Mailing address
12587 3Rd St
Yucaipa, CA 92399-4542
Phone (909) 492-2839
Other providers in Yucaipa, CA
- Gaja Andzel
- Emmanuel S Angeles
- Kelsey C Angell
- Aimee Delfina Anrubio
- Teodora Antal
- Donna Anzai
- Brenda Aquino Diaz
- Arch Home Healthcare, LLC
- Rafael Arias
- Sean Arias
All providers in Yucaipa, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.