NPI 1457713588

Jennifer Ann Gould

Practitioner Radiography Radiologic Technologist Chubbuck, ID

Practice location

Address: 907 Ryan Street, Chubbuck, ID 83202
Phone: (480) 823-2020
Mailing address: 907 Ryan St, Chubbuck, ID 83202-3027

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence RHF69605 (CA)

Other Radiologic Technologist providers in Idaho →

Registry record

NPI: 1457713588
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2016
Record last updated: 28 Mar 2016

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.