Individual
JASON ADRIAN ALONSO BULATAO
Active
Individual
JASON ADRIAN ALONSO BULATAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21522747
KAISER PERMANENTE
CA
Enumeration date
01/09/2023
Last updated
04/24/2023
Update your record
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