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Jason Gardenier
Student in an Organized Health Care Education/Training Program in Vienna, Virginia
NPI 1164712162

Jason Gardenier is a Student in an Organized Health Care Education/Training Program based in Vienna, VA. Jason Gardenier practices in Vienna, VA. The NPI Number for Jason Gardenier is 1164712162 and holds a License No. (Virginia).

The current practice location address for Jason Gardenier is 115 Saint Andrews Dr Ne, Vienna, VA and can be reached out via phone at 703-389-3020.

Location: 115 Saint Andrews Dr Ne, Vienna, VA, 22180-3660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164712162
Provider Name
Jason Gardenier
Credential
Provider Entity Type
Individual
Gender
Male
Address
115 Saint Andrews Dr Ne, Vienna, VA, 22180-3660
Phone Number
703-389-3020
Fax Number
Provider Enumeration Date
04/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 Saint Andrews Dr Ne
City
Vienna
State
Virginia
Zip
22180-3660
Phone Number
703-389-3020
Fax Number
person
Provider Business Mailing Address Details
Address
115 Saint Andrews Dr Ne
City
Vienna
State
Virginia
Zip
22180-3660
Phone Number
703-389-3020
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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