Kristopher Marcus Jabouin

NPI #1265947824 in Sunrise, Florida

Provider Information

NPI Number: 1265947824
Entity Type: Individual
Name: Kristopher Marcus Jabouin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Dec 5, 2017
Last Updated: Dec 5, 2017

Practice Location

Address: 7675 NW 20TH CT
City: Sunrise
State: Florida
ZIP Code: 33322-3901
Phone: (954) 531-4707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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