person
Anita Jivan
Student in an Organized Health Care Education/Training Program in Columbia, Missouri
NPI 1992451215

Anita Jivan is a Student in an Organized Health Care Education/Training Program based in Dublin, MO. Anita Jivan practices in Columbia, MO. The NPI Number for Anita Jivan is 1992451215 and holds a License No. (Missouri).

The current practice location address for Anita Jivan is 2475 Broadway Bluffs Dr Ste 200, Columbia, MO and can be reached out via phone at 573-777-9282.

Location: 2475 Broadway Bluffs Dr Ste 200, Columbia, MO, 94568-7220
person
Provider Profile Details
NPI Number
1992451215
Provider Name
Anita Jivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2475 Broadway Bluffs Dr Ste 200, Columbia, MO, 94568-7220
Phone Number
573-777-9282
Fax Number
Provider Enumeration Date
02/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2475 Broadway Bluffs Dr Ste 200
City
State
Zip
65201-8147
Phone Number
573-777-9282
Fax Number
person
Provider Business Mailing Address Details
Address
2475 Broadway Bluffs Dr Ste 200
City
State
Zip
65201-8147
Phone Number
573-777-9282
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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