institution
Souk Luangsrinhotha Modesto Mobile Imaging Services
Sonography Radiologic Technologist in Salida, California
NPI 1548810336

Souk Luangsrinhotha Modesto Mobile Imaging Services is a Sonography Radiologic Technologist based in Modesto, CA and is specialized in Sonography. Souk Luangsrinhotha Modesto Mobile Imaging Services practices in Salida, CA. The NPI Number for Souk Luangsrinhotha Modesto Mobile Imaging Services is 1548810336 and holds a License No. (California).

The current practice location address for Souk Luangsrinhotha Modesto Mobile Imaging Services is 5021 Rosso Ct, Salida, CA and can be reached out via phone at 209-855-6900.

Location: 5021 Rosso Ct, Salida, CA, 95353-3091
institution
Provider Profile Details
NPI Number
1548810336
Provider Name
Souk Luangsrinhotha Modesto Mobile Imaging Services
Credential
Provider Entity Type
Organization
Address
5021 Rosso Ct, Salida, CA, 95353-3091
Phone Number
209-855-6900
Fax Number
Provider Enumeration Date
09/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972090652 05 CA
institution
Provider Business Practice Location Address Details
Address
5021 Rosso Ct
City
State
Zip
95368-9066
Phone Number
209-855-6900
Fax Number
person
Provider Business Mailing Address Details
Address
5021 Rosso Ct
City
State
Zip
95368-9066
Phone Number
209-855-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
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Definition
Definition to come...
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