Individual
JESSE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
2522 N FOX RUN CT, WICHITA, KS 67226-3605
(605) 261-0294
Mailing address
2522 N FOX RUN CT, WICHITA, KS 67226-3605
(605) 261-0294
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
22-02994
KS
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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