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Jovan Prudencio Archuleta
Student in an Organized Health Care Education/Training Program in Palmer, Alaska
NPI 1952069270

Jovan Prudencio Archuleta is a Student in an Organized Health Care Education/Training Program based in Palmer, AK. Jovan Prudencio Archuleta practices in Palmer, AK. The NPI Number for Jovan Prudencio Archuleta is 1952069270 and holds a License No. (Alaska).

The current practice location address for Jovan Prudencio Archuleta is 7335 E Palmer Wasilla Hwy Ste 2B, Palmer, AK and can be reached out via phone at 907-745-6200.

Location: 7335 E Palmer Wasilla Hwy Ste 2B, Palmer, AK, 99645-7710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952069270
Provider Name
Jovan Prudencio Archuleta
Credential
Provider Entity Type
Individual
Gender
Male
Address
7335 E Palmer Wasilla Hwy Ste 2B, Palmer, AK, 99645-7710
Phone Number
907-745-6200
Fax Number
Provider Enumeration Date
12/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7335 E Palmer Wasilla Hwy Ste 2B
City
Palmer
State
Alaska
Zip
99645-7710
Phone Number
907-745-6200
Fax Number
person
Provider Business Mailing Address Details
Address
7335 E Palmer Wasilla Hwy Ste 2B
City
Palmer
State
Alaska
Zip
99645-7710
Phone Number
907-745-6200
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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