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Jade Alysse Holloway
Student in an Organized Health Care Education/Training Program in Waco, Texas
NPI 1417623216

Jade Alysse Holloway is a Student in an Organized Health Care Education/Training Program based in Waco, TX. Jade Alysse Holloway practices in Waco, TX. The NPI Number for Jade Alysse Holloway is 1417623216 and holds a License No. 118847 (Texas).

The current practice location address for Jade Alysse Holloway is 4900 Sanger Ave, Waco, TX and can be reached out via phone at 254-848-6284.

Location: 4900 Sanger Ave, Waco, TX, 76710-5866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417623216
Provider Name
Jade Alysse Holloway
Credential
Provider Entity Type
Individual
Gender
Female
Address
4900 Sanger Ave, Waco, TX, 76710-5866
Phone Number
254-848-6284
Fax Number
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4900 Sanger Ave
City
Waco
State
Texas
Zip
76710-5866
Phone Number
254-848-6284
Fax Number
person
Provider Business Mailing Address Details
Address
4900 Sanger Ave
City
Waco
State
Texas
Zip
76710-5866
Phone Number
254-848-6284
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.
118847 (Texas)
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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