| NPI | 1144649740 |
|---|---|
| Other Name | MICHELE R. MADDOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: IL 237000138) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |