Jake Edward Hewitt

NPI #1952935629 in South Royalton, Vermont

Provider Information

NPI Number: 1952935629
Entity Type: Individual
Name: Jake Edward Hewitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 2, 2020
Last Updated: Mar 2, 2020

Practice Location

Address: 1477 DAVIS RD
City: South Royalton
State: Vermont
ZIP Code: 05068-5051
Phone: (802) 779-7470

Specialties & Taxonomy Codes

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

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