LAVERNE KING

TUBA CITY, AZ
NPI1255578043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2471M2300X Radiologic Technologist, Mammography
(Licence: AZ  2777)
Additional Taxonomies247100000X Radiologic Technologist
(Licence: AZ  14515)
Enumeration Date2009-01-15
Last Update Date2009-01-15
Business Address
-- LAVERNE KING R.T. (R)(M)
167 N. MAIN ST.
TUBA CITY, AZ 86045
Phone number: 928-283-2198
Mailing Address
-- LAVERNE KING R.T. (R)(M)
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2198