Jovan Prudencio Archuleta

NPI #1952069270 in Palmer, Alaska

Provider Information

NPI Number: 1952069270
Entity Type: Individual
Name: Jovan Prudencio Archuleta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 3, 2021
Last Updated: Dec 3, 2021

Practice Location

Address: 7335 E PALMER WASILLA HWY STE 2B
City: Palmer
State: Alaska
ZIP Code: 99645-7710
Phone: (907) 745-6200

Specialties & Taxonomy Codes

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

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