# JEANNE MALIWAT

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

## Provider details

- **NPI number:** 1376974386
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 279385 | MO | — |
| 2471B0102X | Bone Densitometry Radiologic Technologist | 279385 | MO | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | 279385 | MO | Yes |
| 2471C3402X | Radiography Radiologic Technologist | 279385 | MO | — |
| 2471M2300X | Mammography Radiologic Technologist | 279385 | MO | — |

## Other

- **Enumeration date:** 12/02/2013
- **Last updated:** 12/02/2013