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Jessica Luella White
Student in an Organized Health Care Education/Training Program in Berkley, Michigan
NPI 1780073486

Jessica Luella White is a Student in an Organized Health Care Education/Training Program based in Wixom, MI. Jessica Luella White practices in Berkley, MI. The NPI Number for Jessica Luella White is 1780073486 and holds a License No. (Michigan).

The current practice location address for Jessica Luella White is 2351 12 Mile Rd, Berkley, MI and can be reached out via phone at 248-544-4004.

Location: 2351 12 Mile Rd, Berkley, MI, 48393-4507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780073486
Provider Name
Jessica Luella White
Credential
Provider Entity Type
Individual
Gender
Female
Address
2351 12 Mile Rd, Berkley, MI, 48393-4507
Phone Number
248-544-4004
Fax Number
Provider Enumeration Date
01/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2351 12 Mile Rd
City
Berkley
State
Michigan
Zip
48072-1826
Phone Number
248-544-4004
Fax Number
person
Provider Business Mailing Address Details
Address
2351 12 Mile Rd
City
Berkley
State
Michigan
Zip
48072-1826
Phone Number
248-544-4004
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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