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Jacklynn Ibrahim
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1063032662

Jacklynn Ibrahim is a Student in an Organized Health Care Education/Training Program based in New Hyde Park, NY. Jacklynn Ibrahim practices in Mineola, NY. The NPI Number for Jacklynn Ibrahim is 1063032662 and holds a License No. (New York).

The current practice location address for Jacklynn Ibrahim is 259 1St St, Mineola, NY and can be reached out via phone at 866-946-8476.

Location: 259 1St St, Mineola, NY, 11040-2114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063032662
Provider Name
Jacklynn Ibrahim
Credential
Provider Entity Type
Individual
Gender
Female
Address
259 1St St, Mineola, NY, 11040-2114
Phone Number
866-946-8476
Fax Number
Provider Enumeration Date
04/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
259 1St St
City
Mineola
State
New York
Zip
11501-3957
Phone Number
866-946-8476
Fax Number
person
Provider Business Mailing Address Details
Address
259 1St St
City
Mineola
State
New York
Zip
11501-3957
Phone Number
866-946-8476
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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