Jacob Wiley
Student in an Organized Health Care Education/Training Program in Hialeah, FL. Individual provider (NPI-1).
NPI number1699298018
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1699298018
- Entity type
- Individual (NPI-1)
- Name
- Jacob Wiley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4175 W 20th AveHialeah, FL 33012-5874
Phone 305-825-0300
Mailing address
4175 W 20th AveHialeah, FL 33012-5874
Phone 305-825-0300
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All 285 Student in an Organized Health Care Education/Training Program providers in Hialeah · All 15,191 providers in Hialeah
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