Provider Demographics
NPI:1740452911
Name:COLLETTE, JENNIFER YVONNE (RT (R)(MR))
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:YVONNE
Last Name:COLLETTE
Suffix:
Gender:F
Credentials:RT (R)(MR)
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Mailing Address - Street 1:2011 HILLSDALE DRIVE
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423
Mailing Address - Country:US
Mailing Address - Phone:810-869-9785
Mailing Address - Fax:
Practice Address - Street 1:2011 HILLSDALE DRIVE
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423
Practice Address - Country:US
Practice Address - Phone:810-869-9785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging