person
Jacob Redden
Student in an Organized Health Care Education/Training Program in Beckley, West Virginia
NPI 1548990336

Jacob Redden is a Student in an Organized Health Care Education/Training Program based in Beckley, WV. Jacob Redden practices in Beckley, WV. The NPI Number for Jacob Redden is 1548990336 and holds a License No. ED1145A (West Virginia).

The current practice location address for Jacob Redden is 252 Rural Acres Dr, Beckley, WV and can be reached out via phone at 304-252-8324.

Location: 252 Rural Acres Dr, Beckley, WV, 25801-1505
person
Provider Profile Details
NPI Number
1548990336
Provider Name
Jacob Redden
Credential
Provider Entity Type
Individual
Gender
Male
Address
252 Rural Acres Dr, Beckley, WV, 25801-1505
Phone Number
304-252-8324
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
252 Rural Acres Dr
City
State
Zip
25801-3503
Phone Number
304-252-8324
Fax Number
person
Provider Business Mailing Address Details
Address
252 Rural Acres Dr
City
State
Zip
25801-3503
Phone Number
304-252-8324
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.
ED1145A (West Virginia)
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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