Individual provider · Type 1 NPI
Jessica M. Brock
Radiologic Technologist · Mandeville, LA
NPI number
1962636233
Active
Practice location
169 Highland Dr
Mandeville, LA 70471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | 5969 (LA) |
Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
About NPI 1962636233
Jessica M. Brock's National Provider Identifier is 1962636233, issued on May 14, 2009. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Mandeville, LA. The record was last updated on May 14, 2009.