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Individual

BRENDA ELAINE HEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RT, RDMS, RVT

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
227658
MN
2471S1302X
Sonography Radiologic Technologist
Primary
27505
MD
2471V0105X
Vascular Sonography Radiologic Technologist
27505
MD

Other

Enumeration date
02/17/2009
Last updated
02/17/2009
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