| NPI | 1144625245 |
|---|---|
| Former Name | RAYLENE LOOMIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: MA 112783) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2019-11-08 |