Individual
JADYN ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.R.A.
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1000
(941) 799-9077
Mailing address
2115 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 577-0303
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
473953
—
Other
Enumeration date
11/14/2018
Last updated
06/21/2023
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