Individual provider · Type 1 NPI

Jenna Dalla Mura

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1265867642 Active

Practice location

5525 N 16th St
Phoenix, AZ 85016-2901

Call (602) 664-7120 Map

Mailing address

5601 N 16th St
Phoenix, AZ 85016-2903

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRN158229 (AZ)

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 1265867642

Jenna Dalla Mura's National Provider Identifier is 1265867642, issued on Sep 4, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 4, 2013.