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Jade Ma Gates
Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona
NPI 1396313508

Jade Ma Gates is a Student in an Organized Health Care Education/Training Program based in Tempe, AZ. Jade Ma Gates practices in Flagstaff, AZ. The NPI Number for Jade Ma Gates is 1396313508 and holds a License No. (Arizona).

The current practice location address for Jade Ma Gates is 208 E Pine Knoll Dr, Flagstaff, AZ and can be reached out via phone at 928-523-5122. You can also correspond with Jade Ma Gates through the mailing address at 1721 W MYRNA LN, TEMPE, AZ - 85284-1234 (mailing address contact number: 480-459-8997).

Location: 208 E Pine Knoll Dr, Flagstaff, AZ, 85284-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396313508
Provider Name
Jade Ma Gates
Credential
Provider Entity Type
Individual
Gender
Female
Address
208 E Pine Knoll Dr, Flagstaff, AZ, 85284-1234
Phone Number
928-523-5122
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
208 E Pine Knoll Dr
City
Flagstaff
State
Arizona
Zip
86011-0001
Phone Number
928-523-5122
Fax Number
person
Provider Business Mailing Address Details
Address
208 E Pine Knoll Dr
City
Flagstaff
State
Arizona
Zip
86011-0001
Phone Number
928-523-5122
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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