Individual provider · Type 1 NPI

Marie Marie Jefferson

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

NPI number 1801552302 Active

Practice location

17825 Libby Rd
Maple Heights, OH 44137-1509

Mailing address

1400 E 55th St
Cleveland, OH 44103-1304

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 1801552302

Marie Marie Jefferson's National Provider Identifier is 1801552302, issued on Nov 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maple Heights, OH. The record was last updated on Nov 10, 2021.