Individual
CYNTHIA VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADIOLOGY TECH
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
PO BOX 94429, SEATTLE, WA 98124-6729
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
—
AK
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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