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 |