Individual
JODI SUE MCMASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
99 SMITHFIELD ST, DILLONVALE, OH 43917-6804
(740) 219-2819
Mailing address
99 SMITHFIELD ST, DILLONVALE, OH 43917-6804
(740) 219-2819
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
131226
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131226
CERTIFIED SURGICAL FIRST ASSISTANT
—
Enumeration date
08/11/2014
Last updated
08/11/2014
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