Individual provider · Type 1 NPI

Vantasia Joe

Student in an Organized Health Care Education/Training Program · Ithaca, NY

NPI number 1821982265 Active

Practice location

215 E State St Ste 5
Ithaca, NY 14850-5547

Call (607) 274-3011 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 1821982265

Vantasia Joe's National Provider Identifier is 1821982265, issued on Jun 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ithaca, NY. The record was last updated on Jun 9, 2025.