Individual
COLLEEN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 NW 161ST CT, GAINESVILLE, FL 32609-4088
(386) 462-2052
Mailing address
2925 NW 161ST CT, GAINESVILLE, FL 32609-4088
(386) 462-2052
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT80394
FL
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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