| NPI | 1972768299 |
|---|---|
| Former Name | JENNIFER RENEE CLAY SKEANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: OK 171496) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other Surgical Technologist |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2020-07-31 |