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Jacob Chamberlain
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1225614019

Jacob Chamberlain is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Jacob Chamberlain practices in Glendale, AZ. The NPI Number for Jacob Chamberlain is 1225614019 and holds a License No. (Arizona).

The current practice location address for Jacob Chamberlain is 20000 N 57Th Ave Rm K102, Glendale, AZ and can be reached out via phone at 801-367-5076.

Location: 20000 N 57Th Ave Rm K102, Glendale, AZ, 85308-6987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225614019
Provider Name
Jacob Chamberlain
Credential
Provider Entity Type
Individual
Gender
Male
Address
20000 N 57Th Ave Rm K102, Glendale, AZ, 85308-6987
Phone Number
801-367-5076
Fax Number
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20000 N 57Th Ave Rm K102
City
Glendale
State
Arizona
Zip
85308-6987
Phone Number
801-367-5076
Fax Number
person
Provider Business Mailing Address Details
Address
20000 N 57Th Ave Rm K102
City
Glendale
State
Arizona
Zip
85308-6987
Phone Number
801-367-5076
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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