Individual provider · Type 1 NPI

Jill Tara Enders

Student in an Organized Health Care Education/Training Program · Euclid, OH

NPI number 1316698178 Active

Practice location

22639 Euclid Ave
Euclid, OH 44117-1622

Mailing address

2499 Edgerton Rd
University Heights, OH 44118-4410

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 1316698178

Jill Tara Enders's National Provider Identifier is 1316698178, issued on Jan 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Euclid, OH. The record was last updated on Jan 13, 2022.