Individual
RYAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MRI TECHNOLOGIST
Contact information
Practice address
24331 EL TORO RD, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
Mailing address
24331 EL TORO RD, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
1128
CA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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