Misty Angelique Roetzel Valid NPI

Individual provider · Other Specialist/Technologist · Jacksonville, AR

NPI

1295131399

Type

Individual (Type 1)

Primary specialty

Other Specialist/Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246Z00000X

Sex

Female

Sole proprietor

No

Enumerated

2014-11-17

Last updated

2014-11-17