Individual
KRISTIN GWEN DEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
(R) R.T.
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 85045
(928) 283-2501
Mailing address
PO BOX 600, PFS BUSINESS OFFICE, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
CRT-14771
AZ
Other
Enumeration date
09/12/2008
Last updated
05/10/2018
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