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Mrs. Jennifer Ann Gould
Radiography Radiologic Technologist in Chubbuck, Idaho
NPI 1457713588

Jennifer Ann Gould is a Radiography Radiologic Technologist based in Chubbuck, ID and is specialized in Radiography. Jennifer Ann Gould practices in Chubbuck, ID. The NPI Number for Jennifer Ann Gould is 1457713588 and holds a License No. RHF69605 (Idaho).

The current practice location address for Jennifer Ann Gould is 907 Ryan Street, Chubbuck, ID and can be reached out via phone at 480-823-2020.

Location: 907 Ryan Street, Chubbuck, ID, 83202-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457713588
Provider Name
Jennifer Ann Gould
Credential
Provider Entity Type
Individual
Gender
Female
Address
907 Ryan Street, Chubbuck, ID, 83202-3027
Phone Number
480-823-2020
Fax Number
Provider Enumeration Date
03/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
907 Ryan Street
City
Chubbuck
State
Idaho
Zip
83202
Phone Number
480-823-2020
Fax Number
person
Provider Business Mailing Address Details
Address
907 Ryan Street
City
Chubbuck
State
Idaho
Zip
83202
Phone Number
480-823-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
2471C3402X
License No.
RHF69605 (California)
Definition
Definition to come...
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