Individual provider · Type 1 NPI

Ieshae Naticole /latonya Gary

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1932860020 Active

Practice location

5103 F St
Philadelphia, PA 19124-3026

Call (215) 687-6241 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X55963601 (PA)

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 1932860020

Ieshae Naticole /latonya Gary's National Provider Identifier is 1932860020, issued on Jan 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 1, 2022.