Jade Douglas
Jade Douglas is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
475 Seaview AveStaten Island, NY 10305-3436
Phone: (718) 226-8042
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1821865890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 8, 2023 |
| Last updated in NPPES | December 8, 2023 |
| Certification date | December 8, 2023 |
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