Individual
VICTORIA LEE HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT (R)
Contact information
Practice address
RR 1 BOX 69A, GRANVILLE SMT, PA 16926-9748
(570) 529-0539
Mailing address
RR 1 BOX 69A, GRANVILLE SMT, PA 16926-9748
(570) 529-0539
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
428980
PA
247100000X
Radiologic Technologist
840930
NY
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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