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Jaclyn Luckhardt
Student in an Organized Health Care Education/Training Program in Gorham, Maine
NPI 1184274631

Jaclyn Luckhardt is a Student in an Organized Health Care Education/Training Program based in Gorham, ME. Jaclyn Luckhardt practices in Gorham, ME. The NPI Number for Jaclyn Luckhardt is 1184274631 and holds a License No. (Maine).

The current practice location address for Jaclyn Luckhardt is 37 College Ave, Gorham, ME and can be reached out via phone at 603-845-8427.

Location: 37 College Ave, Gorham, ME, 04038-1032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184274631
Provider Name
Jaclyn Luckhardt
Credential
Provider Entity Type
Individual
Gender
Female
Address
37 College Ave, Gorham, ME, 04038-1032
Phone Number
603-845-8427
Fax Number
Provider Enumeration Date
09/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
37 College Ave
City
Gorham
State
Maine
Zip
04038-1032
Phone Number
603-845-8427
Fax Number
person
Provider Business Mailing Address Details
Address
37 College Ave
City
Gorham
State
Maine
Zip
04038-1032
Phone Number
603-845-8427
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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