Provider Demographics
NPI:1992215651
Name:DIGIOIA, KEZIA JADE
Entity Type:Individual
Prefix:
First Name:KEZIA
Middle Name:JADE
Last Name:DIGIOIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E BURLINGTON ST APT 7B
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1914
Mailing Address - Country:US
Mailing Address - Phone:847-414-1880
Mailing Address - Fax:
Practice Address - Street 1:505 EAST BURLINGTON ST
Practice Address - Street 2:APT 7B
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240
Practice Address - Country:US
Practice Address - Phone:847-414-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program