Individual
JENNIFER LYNN JORDT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 108TH ST, MARENGO, IA 52301-8726
(319) 361-1468
Mailing address
1777 108TH ST, MARENGO, IA 52301-8726
(319) 361-1468
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370199
ARRT
—
Enumeration date
12/19/2007
Last updated
12/19/2007
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