IndividualActive
Jennifer Gould
NPI 1457713588 · Radiography Radiologic Technologist · Chubbuck, ID
Provider details
- NPI number
- 1457713588
- Entity type
- Individual
- Primary specialty
- Radiography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RHF69605 (CA)
Mailing address
907 Ryan St
Chubbuck, ID 83202-3027
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2016-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.