Doctor Name: | MRS. JENNIFER EVANS |
NPI Number: | 1366767071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDCS, RVT |
License Number: | ARDMS119468 |
Business Practice Address: | 275 Clinton Dr Stonewall, LA - 710785405 |
Business Phone Number: | 2252351710 |
Business Fax Number: | 8888806308 |
Mailing Address: | 275 Clinton Dr, STONEWALL |
State: | LA |
Postal Code: | 710785405 |
Phone Number: | 2252351710 |
Fax Number: | 8888806308 |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 06/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | ARDMS119468 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |