Individual provider · Type 1 NPI

Jazmn Samantha Matal

Student in an Organized Health Care Education/Training Program · Dekalb, IL

NPI number 1033580733 Active

Practice location

100 Park Ave
Dekalb, IL 60115-3104

Call (912) 996-4514 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1033580733

Jazmn Samantha Matal's National Provider Identifier is 1033580733, issued on Oct 7, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dekalb, IL. The record was last updated on Oct 7, 2015.