| NPI | 1013295963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMINA DUESDIEKER Owner 831-272-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2015-12-01 |