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NPI Profile for JENNIFER C STADIN in RICHLAND, WA.
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist, Other |
246Z00000X | |||
Specialist |
174400000X |
| NPI Number | 1265546360 |
|
| Status | Active | |
| Credentials | LMP (Licensed Medical Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/18/2006 | |
| Last updated | 06/04/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER C STADIN
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JENNIFER C STADIN, LMP