Individual
HERA NAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.R.R.T., C.R.T.
Contact information
Practice address
406 E. POPPY ST., LONG BEACH, CA 90805
(562) 276-8809
Mailing address
406 E. POPPY ST., LONG BEACH, CA 90805
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
01/22/2015
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