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Jessica Joy Blaza, MD
Student in an Organized Health Care Education/Training Program in Miamisburg, Ohio
NPI 1245736164

Jessica Joy Blaza is a Student in an Organized Health Care Education/Training Program based in Miamisburg, OH. Jessica Joy Blaza practices in Miamisburg, OH and has the professional credentials of MD. The NPI Number for Jessica Joy Blaza is 1245736164 and holds a License No. (Ohio).

The current practice location address for Jessica Joy Blaza is 2115 Leiter Rd, Miamisburg, OH and can be reached out via phone at 937-384-6800 and via fax at 937-384-6938.

Location: 2115 Leiter Rd, Miamisburg, OH, 45342-3600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245736164
Provider Name
Jessica Joy Blaza
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2115 Leiter Rd, Miamisburg, OH, 45342-3600
Phone Number
937-384-6800
Fax Number
937-384-6938
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2115 Leiter Rd
City
Miamisburg
State
Ohio
Zip
45342-3600
Phone Number
937-384-6800
Fax Number
937-384-6938
person
Provider Business Mailing Address Details
Address
2115 Leiter Rd
City
Miamisburg
State
Ohio
Zip
45342-3600
Phone Number
937-384-6800
Fax Number
937-384-6938
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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