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JORDAN AUSTIN KAI GOUVEIA EMT

JA
JORDAN AUSTIN KAI GOUVEIA EMT

Clinician

npi
1053299479
status
A
address
1500 PETALUMA BLVD S, PETALUMA, CA, 949525545
license
E177413
taxonomy
Day Training/Habilitation Specialist
last updated
2025-08-25
license state
CA
taxonomy code
373H00000X
sole proprietor
NO
enumeration date
2025-08-25
enumeration type
NPI-1
practice locations
0
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

Day Training/Habilitation Specialist · has profession

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