NPI 1033580733

Jazmn Samantha Matal

Practitioner Student in an Organized Health Care Education/Training Program Dekalb, IL

Practice location

Address: 100 Park Ave, Dekalb, IL 60115-3104
Phone: (912) 996-4514

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033580733
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2015
Record last updated: 7 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.