| NPI | 1790107928 |
|---|---|
| Professional Name | JENNINGS E MOONEYHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TN 94-122) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |