NPI 1225301989

Jessaca Lauren Peterson, ARDMS

Practitioner Sonography Radiologic Technologist Dayton, OH

Practice location

Address: 4100 W 3rd St, Dayton, OH 45428-9000
Phone: (937) 268-6511
Mailing address: 2678 Hampton Park Cir, Foley, AL 36535-1130

Registered specialties

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence 122613 (AL)

Other Radiologic Technologist providers in Ohio →

Registry record

NPI: 1225301989
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2012
Record last updated: 10 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.