person
Lijah Vann Gardner, STUDENT
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, Ohio
NPI 1437807039

Lijah Vann Gardner is a Student in an Organized Health Care Education/Training Program based in Wright Patterson Afb, OH. Lijah Vann Gardner practices in Wright Patterson Afb, OH and has the professional credentials of STUDENT. The NPI Number for Lijah Vann Gardner is 1437807039 and holds a License No. (Ohio).

The current practice location address for Lijah Vann Gardner is 4881 Sugar Maple Dr, Wright Patterson Afb, OH and can be reached out via phone at 937-257-9655.

Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH, 45433-5529
person
Provider Profile Details
NPI Number
1437807039
Provider Name
Lijah Vann Gardner
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
4881 Sugar Maple Dr, Wright Patterson Afb, OH, 45433-5529
Phone Number
937-257-9655
Fax Number
Provider Enumeration Date
03/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
937-257-9655
Fax Number
person
Provider Business Mailing Address Details
Address
4881 Sugar Maple Dr
City
State
Zip
45433-5529
Phone Number
937-257-9655
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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