Individual provider · Type 1 NPI

Jacklyn Marie Puopolo

Student in an Organized Health Care Education/Training Program · Bel Air, MD

NPI number 1285127340 Active

Practice location

658 Boulton St
Bel Air, MD 21014-4214

Call (410) 638-9400 Map

Mailing address

2201 Wilson Blvd Apt 223
Arlington, VA 22201-3374

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 1285127340

Jacklyn Marie Puopolo's National Provider Identifier is 1285127340, issued on Jun 12, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bel Air, MD. The record was last updated on Jun 12, 2018.