| NPI | 1982292561 |
|---|---|
| Other Name | JACQUE NEWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X |
| 224900000X Mastectomy Fitter | |
| 224P00000X Prosthetist | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2025-04-24 |