| NPI | 1386159416 |
|---|---|
| Former Name | JODELYN TURENNE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL TPPA245) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PACN61) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2025-12-02 |