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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOVAN PRUDENCIO ARCHULETA

Active

JOVAN PRUDENCIO ARCHULETA is a Student (Health Education/Training) healthcare provider located in PALMER, Alaska. NPI 1952069270 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · PALMER, AK

Registration Details

NPI Number
1952069270
Provider Type
Individual
Gender
Male
NPI Issued
Dec 3, 2021 (4.6934180043069 yrs)
Last Updated
Dec 3, 2021

Practice Information

Address
7335 E PALMER WASILLA HWY STE 2B
PALMER, AK, 996457710
Browse AK providers · Browse ZIP 99645
Phone
9077456200
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in PALMER, AK

Name Credential NPI
MAGGIE GRUBER 1689361081
MORGAN J HOLKO DO 1710777099
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.