Individual provider · Type 1 NPI

Jacie Fabro

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1457982076 Active

Practice location

4136 Mitchell St Apt 407
Philadelphia, PA 19128-3511

Call (808) 346-4817 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1457982076

Jacie Fabro's National Provider Identifier is 1457982076, issued on Feb 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 2, 2020.