Individual provider · Type 1 NPI

Jacob Loose

Student in an Organized Health Care Education/Training Program · Bountiful, UT

NPI number 1104684141 Active

Practice location

1952 Maple Hollow Way
Bountiful, UT 84010-1041

Call (801) 889-5598 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 1104684141

Jacob Loose's National Provider Identifier is 1104684141, issued on Mar 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bountiful, UT. The record was last updated on Mar 12, 2024.