institution
Origin Pregnancy Boutique
Sonography Radiologic Technologist in Mendocino, California
NPI 1255661583

Origin Pregnancy Boutique is a Sonography Radiologic Technologist based in Fort Bragg, CA and is specialized in Sonography. Origin Pregnancy Boutique practices in Mendocino, CA. The NPI Number for Origin Pregnancy Boutique is 1255661583 and holds a License No. RDMS81478 (California).

The current practice location address for Origin Pregnancy Boutique is 45040 Main Street, Mendocino, CA and can be reached out via phone at 707-937-1477 and via fax at 707-937-1480.

Location: 45040 Main Street, Mendocino, CA, 95437-9226
institution
Provider Profile Details
NPI Number
1255661583
Provider Name
Origin Pregnancy Boutique
Credential
Provider Entity Type
Organization
Address
45040 Main Street, Mendocino, CA, 95437-9226
Phone Number
707-937-1477
Fax Number
707-937-1480
Provider Enumeration Date
01/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
45040 Main Street
City
State
Zip
95460
Phone Number
707-937-1477
Fax Number
707-937-1480
person
Provider Business Mailing Address Details
Address
45040 Main Street
City
State
Zip
95460
Phone Number
707-937-1477
Fax Number
707-937-1480
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
RDMS81478 (California)
Definition
Definition to come...
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