person
Mr. Quetrell Dominique Heyward
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1104314335

Quetrell Dominique Heyward is a Student in an Organized Health Care Education/Training Program based in Jackson, PA. Quetrell Dominique Heyward practices in Philadelphia, PA. The NPI Number for Quetrell Dominique Heyward is 1104314335 and holds a License No. (Pennsylvania).

The current practice location address for Quetrell Dominique Heyward is 1 W. Gates, Philadelphia, PA and can be reached out via phone at 215-662-2730.

Location: 1 W. Gates, Philadelphia, PA, 08527-4564
person
Provider Profile Details
NPI Number
1104314335
Provider Name
Quetrell Dominique Heyward
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 W. Gates, Philadelphia, PA, 08527-4564
Phone Number
215-662-2730
Fax Number
Provider Enumeration Date
04/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 W. Gates
City
State
Zip
19104-4238
Phone Number
215-662-2730
Fax Number
person
Provider Business Mailing Address Details
Address
1 W. Gates
City
State
Zip
19104-4238
Phone Number
215-662-2730
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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