Individual
JODI RAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, RST
Contact information
Practice address
1604 VISA DR, STE. 2, NORMAL, IL 61761-2195
(309) 846-4716
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(137) 779-9800
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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