NPI | 1811258668 |
---|---|
Former Name | JESSICA EILEEN RHODES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: IA 079968) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NC 9976) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2018-04-16 |