person
Jasen Tjahjadi
Student in an Organized Health Care Education/Training Program in Lancaster, Pennsylvania
NPI 1649839077

Jasen Tjahjadi is a Student in an Organized Health Care Education/Training Program based in Lancaster, PA. Jasen Tjahjadi practices in Lancaster, PA. The NPI Number for Jasen Tjahjadi is 1649839077 and holds a License No. MT217899 (Pennsylvania).

The current practice location address for Jasen Tjahjadi is 555 N Duke St, Lancaster, PA and can be reached out via phone at 717-544-4940.

Location: 555 N Duke St, Lancaster, PA, 17602-2250
person
Provider Profile Details
NPI Number
1649839077
Provider Name
Jasen Tjahjadi
Credential
Provider Entity Type
Individual
Gender
Male
Address
555 N Duke St, Lancaster, PA, 17602-2250
Phone Number
717-544-4940
Fax Number
Provider Enumeration Date
06/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
555 N Duke St
City
State
Zip
17602-2250
Phone Number
717-544-4940
Fax Number
person
Provider Business Mailing Address Details
Address
555 N Duke St
City
State
Zip
17602-2250
Phone Number
717-544-4940
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.
MT217899 (Pennsylvania)
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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