Jalen Wise
Jalen Wise is a Student in an Organized Health Care Education/Training Program in Desoto, Texas. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
901 Rio Vista DrDesoto, TX 75115-7214
Phone: (214) 949-0483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1770364598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2023 |
| Last updated in NPPES | October 9, 2023 |
| Certification date | October 9, 2023 |
| Mailing address | 901 Rio Vista Dr, Desoto, TX 75115-7214 |
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