person
Jalen Wise
Student in an Organized Health Care Education/Training Program in Desoto, Texas
NPI 1770364598

Jalen Wise is a Student in an Organized Health Care Education/Training Program based in Desoto, TX. Jalen Wise practices in Desoto, TX. The NPI Number for Jalen Wise is 1770364598 and holds a License No. (Texas).

The current practice location address for Jalen Wise is 901 Rio Vista Dr, Desoto, TX and can be reached out via phone at 214-949-0483.

Location: 901 Rio Vista Dr, Desoto, TX, 75115-7214
person
Provider Profile Details
NPI Number
1770364598
Provider Name
Jalen Wise
Credential
Provider Entity Type
Individual
Gender
Male
Address
901 Rio Vista Dr, Desoto, TX, 75115-7214
Phone Number
214-949-0483
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 Rio Vista Dr
City
State
Zip
75115-7214
Phone Number
214-949-0483
Fax Number
person
Provider Business Mailing Address Details
Address
901 Rio Vista Dr
City
State
Zip
75115-7214
Phone Number
214-949-0483
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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