Individual
ANDREW SCOTT ABILDGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
X-RAY TECH R.T
Contact information
Practice address
382 15TH ST., LAKEPORT, CA 95453-3636
(707) 263-4972
Mailing address
382 15TH ST., LAKEPORT, CA 95453-3636
(707) 263-4972
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
435340
CA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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