Individual provider · NPI-1

Jacinta Bravo Mosso

Student in an Organized Health Care Education/Training Program · Lebanon, PA

NPI number1003741422
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1003741422
Entity type
Individual (NPI-1)
Name
Jacinta Bravo Mosso
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2026
Certification date
Jun 16, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

1207 Heritage Ln Apt 134
Lebanon, PA 17042-7305

Phone 717-371-1358

Mailing address

1207 Heritage Ln Apt 134
Lebanon, PA 17042-7305

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Lebanon, PA