Individual
ANGELA CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS, RVT
Contact information
Practice address
801 ROAD 535, SEAFORD, DE 19973
(302) 629-6611
Mailing address
PSC 251 BOX 139, APO, AP 96542-0001
(671) 488-8749
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
140721
DE
2471V0105X
Vascular Sonography Radiologic Technologist
140721
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012325041-01
TRICARE
GU
Enumeration date
12/18/2013
Last updated
12/18/2013
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