Doctor Name: | JESSICA OSTROWSKI |
NPI Number: | 1841611431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 119 Arliss Albertson Rd Beulaville, NC - 285186877 |
Business Phone Number: | 8084266537 |
Business Fax Number: | |
Mailing Address: | 119 Arliss Albertson Rd, BEULAVILLE |
State: | NC |
Postal Code: | 28518 |
Phone Number: | 8084266537 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2013 |
NPI Last Update Date: | 12/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |