| NPI | 1265669451 |
|---|---|
| Doing Business As | PROVIDENCE MOBILE MAMMOGRAPHY COACH |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography |
| Additional Taxonomies | 261QR0207X Clinic/Center, Radiology, Mobile Mammography |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2025-07-25 |