Individual
JODI RAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, RST
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
237.000.132
IL
363AS0400X
Surgical Physician Assistant
Primary
238000537
IL
Other
Enumeration date
09/05/2013
Last updated
10/04/2018
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