Jovan Prudencio Archuleta
Jovan Prudencio Archuleta is a Student in an Organized Health Care Education/Training Program in Palmer, Alaska. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
7335 E Palmer Wasilla Hwy Ste 2BPalmer, AK 99645-7710
Phone: (907) 745-6200
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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 | 1952069270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 3, 2021 |
| Last updated in NPPES | December 3, 2021 |
| Certification date | December 3, 2021 |
| Mailing address | 7335 E Palmer Wasilla Hwy Ste 2b, Palmer, AK 99645-7710 |
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