| NPI | 1699003756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MAESTAS Owner 661-805-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: CA 0570058) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: CA 0570058) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2010-12-13 |