Individual provider · Type 1 NPI

Marlo Leikam

Student in an Organized Health Care Education/Training Program · St. Johns, FL

NPI number 1124857339 Active

Practice location

201 Village Oaks Dr
St. Johns, FL 32259-3876

Call (904) 240-0442 Map

Mailing address

8649 A C Skinner Pkwy Apt 803
Jacksonville, FL 32256-7884

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 1124857339

Marlo Leikam's National Provider Identifier is 1124857339, issued on Jul 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Johns, FL. The record was last updated on Jul 29, 2024.