Jillian Marie Beausoleil, IDMT
NPI #1053554204 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1053554204
- Entity Type
- Individual
- Name
- Jillian Marie Beausoleil, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 16, 2009
- Last Updated
- Oct 6, 2011
Practice Location
- Address
- 511 N TORCH BLVD RM 102B
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103-5109
- Phone
- (575) 784-0287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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