Individual
JENNIFER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 MOUNTAIN VIEW RD STE 108, RAPID CITY, SD 57702-4354
(605) 343-7295
Mailing address
1600 MOUNTAIN VIEW RD STE 108, RAPID CITY, SD 57702-4354
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
APPLYING
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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