Individual provider · Type 1 NPI

Jessica Estelle Bugtong

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

NPI number 1649771601 Active

Practice location

101 Braddock Rd
Frostburg, MD 21532-2303

Call (301) 806-2445 Map

Mailing address

1110 Hull Dr
Edgewater, MD 21037-4131

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone 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 1649771601

Jessica Estelle Bugtong's National Provider Identifier is 1649771601, issued on Feb 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Frostburg, MD. The record was last updated on Feb 26, 2018.