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Jazmn Samantha Matal
Student in an Organized Health Care Education/Training Program in Dekalb, Illinois
NPI 1033580733

Jazmn Samantha Matal is a Student in an Organized Health Care Education/Training Program based in Dekalb, IL. Jazmn Samantha Matal practices in Dekalb, IL. The NPI Number for Jazmn Samantha Matal is 1033580733 and holds a License No. (Illinois).

The current practice location address for Jazmn Samantha Matal is 100 Park Ave, Dekalb, IL and can be reached out via phone at 912-996-4514.

Location: 100 Park Ave, Dekalb, IL, 60115-3104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033580733
Provider Name
Jazmn Samantha Matal
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Park Ave, Dekalb, IL, 60115-3104
Phone Number
912-996-4514
Fax Number
Provider Enumeration Date
10/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Park Ave
City
Dekalb
State
Illinois
Zip
60115-3104
Phone Number
912-996-4514
Fax Number
person
Provider Business Mailing Address Details
Address
100 Park Ave
City
Dekalb
State
Illinois
Zip
60115-3104
Phone Number
912-996-4514
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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