Jenna Danielle Gasper, IDMT

NPI #1699918979 in Beale Afb, California

Provider Information

NPI Number: 1699918979
Entity Type: Individual
Name: Jenna Danielle Gasper, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Apr 15, 2009
Last Updated: Jan 19, 2011

Practice Location

Address: 15301 WARREN SHINGLE RD
City: Beale Afb
State: California
ZIP Code: 95903-1907
Phone: (530) 634-4898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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