Jacklynn Ibrahim

NPI #1063032662 in Mineola, New York

Provider Information

NPI Number: 1063032662
Entity Type: Individual
Name: Jacklynn Ibrahim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 23, 2020
Last Updated: Apr 23, 2020

Practice Location

Address: 259 1ST ST
City: Mineola
State: New York
ZIP Code: 11501-3957
Phone: (866) 946-8476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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