# MRS. JENNIFER E BRUYERE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033453303
- **Gender:** F
- **Credential:** BA, AAS, RT(R)(M)

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 373912 | MN | Yes |
| 2471M2300X | Mammography Radiologic Technologist | 373912 | MN | — |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 11/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 373912 | AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS | MN |
| 01 | — | 500506806 | IEMA DIVISION OF NUCLEAR SAFETY | IL |