Jacob Rex Andersen
Jacob Rex Andersen is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
18701 N 67th AveGlendale, AZ 85308-7100
Phone: (623) 561-1000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1811799372 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2025 |
| Last updated in NPPES | March 26, 2025 |
| Certification date | March 26, 2025 |
| Mailing address | 3971 Joshua Ln, Idaho Falls, ID 83401-1778 |
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