MS. Janice Renee Faught, IDMT

NPI #1255569612 in Mcconnell Afb, Kansas

Provider Information

NPI Number
1255569612
Entity Type
Individual
Name
MS. Janice Renee Faught, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 24, 2009
Last Updated
Jun 24, 2009

Practice Location

Address
57950 LEAVENWORTH ST BLDG 250
State
Kansas
ZIP Code
67221-3506
Phone
(316) 759-5022

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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