Individual provider · Type 1 NPI

Jade Ma Gates

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

NPI number 1396313508 Active

Practice location

208 E Pine Knoll Dr
Flagstaff, AZ 86011-0001

Call (928) 523-5122 Map

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 1396313508

Jade Ma Gates's National Provider Identifier is 1396313508, issued on Jun 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flagstaff, AZ. The record was last updated on Feb 21, 2025.