| NPI | 1447793138 |
|---|---|
| Former Name | JAMIE L THOUVENEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: OK 00090586) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |