Jaden Allen
Student in an Organized Health Care Education/Training Program in Mandan, ND. Individual provider (NPI-1).
NPI number1952007189
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1952007189
- Entity type
- Individual (NPI-1)
- Name
- Jaden Allen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2023
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3601 21st St Se Apt 309Mandan, ND 58554-1381
Phone 307-299-8103
Mailing address
3601 21st St Se Apt 309Mandan, ND 58554-1381
Phone 307-299-8103
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