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Jordan Jacomo
Student in an Organized Health Care Education/Training Program in Vienna, Virginia
NPI 1073191938

Jordan Jacomo is a Student in an Organized Health Care Education/Training Program based in Vienna, VA. Jordan Jacomo practices in Vienna, VA. The NPI Number for Jordan Jacomo is 1073191938 and holds a License No. (Virginia).

The current practice location address for Jordan Jacomo is 2804 Evelyn Ct, Vienna, VA and can be reached out via phone at 703-615-7915.

Location: 2804 Evelyn Ct, Vienna, VA, 22180-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073191938
Provider Name
Jordan Jacomo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2804 Evelyn Ct, Vienna, VA, 22180-7015
Phone Number
703-615-7915
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2804 Evelyn Ct
City
Vienna
State
Virginia
Zip
22180-7015
Phone Number
703-615-7915
Fax Number
person
Provider Business Mailing Address Details
Address
2804 Evelyn Ct
City
Vienna
State
Virginia
Zip
22180-7015
Phone Number
703-615-7915
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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