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Miss Leah Danielle Jacobs, EISPECIALIST
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1619412111

Leah Danielle Jacobs is a Student in an Organized Health Care Education/Training Program based in Randolph, MA. Leah Danielle Jacobs practices in Brockton, MA and has the professional credentials of EISPECIALIST. The NPI Number for Leah Danielle Jacobs is 1619412111 and holds a License No. (Massachusetts).

The current practice location address for Leah Danielle Jacobs is 1115 W Chestnut St, Brockton, MA and can be reached out via phone at 508-521-2200.

Location: 1115 W Chestnut St, Brockton, MA, 02368-4714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619412111
Provider Name
Leah Danielle Jacobs
Credential
EISPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
1115 W Chestnut St, Brockton, MA, 02368-4714
Phone Number
508-521-2200
Fax Number
Provider Enumeration Date
12/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-521-2200
Fax Number
person
Provider Business Mailing Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-521-2200
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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