Individual
JUDITH LEANETTE GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
608 AFFIRMED CT, CRESTVIEW, FL 32539-6072
(850) 682-4340
(850) 682-4340
Mailing address
608 AFFIRMED CT, CRESTVIEW, FL 32539-6072
(850) 682-4340
(850) 682-4340
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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