person
Jade Park
Student in an Organized Health Care Education/Training Program in Alexandria, Louisiana
NPI 1053988741

Jade Park is a Student in an Organized Health Care Education/Training Program based in Alexandria, LA. Jade Park practices in Alexandria, LA. The NPI Number for Jade Park is 1053988741 and holds a License No. (Louisiana).

The current practice location address for Jade Park is 301 4Th St, Alexandria, LA and can be reached out via phone at 318-441-1041.

Location: 301 4Th St, Alexandria, LA, 71301-8411
person
Provider Profile Details
NPI Number
1053988741
Provider Name
Jade Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 4Th St, Alexandria, LA, 71301-8411
Phone Number
318-441-1041
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 4Th St
City
State
Zip
71301-8411
Phone Number
318-441-1041
Fax Number
person
Provider Business Mailing Address Details
Address
301 4Th St
City
State
Zip
71301-8411
Phone Number
318-441-1041
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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