Individual provider · Type 1 NPI

J Dedeaux

Student in an Organized Health Care Education/Training Program · Pace, FL

NPI number 1922493840 Active

Practice location

4450 Riverview Pl
Pace, FL 32571-8934

Call (850) 450-5573 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XS10736 (AL)

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 1922493840

J Dedeaux's National Provider Identifier is 1922493840, issued on Mar 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pace, FL. The record was last updated on Mar 30, 2015.