Individual provider · Type 1 NPI
Jasmyne Samuels, DDS
Student in an Organized Health Care Education/Training Program · Tempe, AZ
NPI number
1184209967
Active
Practice location
6200 S Mcclintock Dr Ste 111
Tempe, AZ 85283-3449
Mailing address
1901 N Grant St Apt 719
Denver, CO 80203-1573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
5 other providers at this address
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About NPI 1184209967
Jasmyne Samuels, DDS's National Provider Identifier is 1184209967, issued on Mar 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tempe, AZ. The record was last updated on Mar 13, 2021.