| NPI | 1700228764 |
|---|---|
| Former Name | JAMMIE LEE VERSTOPPEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WI 408651) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: WI 6213-050) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2023-03-07 |