JACK RYAN TAKAHASHI

SAN DIEGO, CA
NPI1013593466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
JACK RYAN TAKAHASHI
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 619-543-6268
Mailing Address
JACK RYAN TAKAHASHI
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 619-543-6268