person
Theresa A. Porcarelli, RDMS,RVT,RDCS
Sonography Radiologic Technologist in Hayden, Idaho
NPI 1538440821

Theresa A. Porcarelli is a Sonography Radiologic Technologist based in Coeur D Alene, ID and is specialized in Sonography. Theresa A. Porcarelli practices in Hayden, ID and has the professional credentials of RDMS,RVT,RDCS. The NPI Number for Theresa A. Porcarelli is 1538440821 and holds a License No. 3082 (Idaho).

The current practice location address for Theresa A. Porcarelli is 1076 W Hayden Ave, Hayden, ID and can be reached out via phone at 208-772-2823.

Location: 1076 W Hayden Ave, Hayden, ID, 83814-2131
person
Provider Profile Details
NPI Number
1538440821
Provider Name
Theresa A. Porcarelli
Credential
RDMS,RVT,RDCS
Provider Entity Type
Individual
Gender
Female
Address
1076 W Hayden Ave, Hayden, ID, 83814-2131
Phone Number
208-772-2823
Fax Number
Provider Enumeration Date
08/31/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1076 W Hayden Ave
City
State
Zip
83835-8793
Phone Number
208-772-2823
Fax Number
person
Provider Business Mailing Address Details
Address
1076 W Hayden Ave
City
State
Zip
83835-8793
Phone Number
208-772-2823
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
3082 (Maryland)
Definition
Definition to come...
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