| NPI | 1942520275 |
|---|---|
| Former Name | JESSICA RACHEL RYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06882) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 55713) |
| 376K00000X Nurse's Aide (Licence: TX NA00188304) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2012-09-17 |