Jalen Wise

NPI #1770364598 in Desoto, Texas

Provider Information

NPI Number: 1770364598
Entity Type: Individual
Name: Jalen Wise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 901 RIO VISTA DR
City: Desoto
State: Texas
ZIP Code: 75115-7214
Phone: (214) 949-0483

Specialties & Taxonomy Codes

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

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