Individual provider · Type 1 NPI

Tanasia Dejesus

Student in an Organized Health Care Education/Training Program · Nutley, NJ

NPI number 1932649415 Active

Practice location

322 Harrison St
Nutley, NJ 07110-2657

Call (973) 320-2999 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 1932649415

Tanasia Dejesus's National Provider Identifier is 1932649415, issued on Mar 2, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nutley, NJ. The record was last updated on Mar 2, 2017.