Jacob Alex
Jacob Alex is a Student in an Organized Health Care Education/Training Program in Southfield, Michigan. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
22250 Providence Dr Ste 301Southfield, MI 48075-6211
Phone: (248) 849-4818
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1669024915 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 16, 2019 |
| Last updated in NPPES | July 16, 2019 |
| Mailing address | 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 |
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