Individual
MRS. LISA ANNE SEDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARRT R M, RDMS
Contact information
Practice address
1360 W 6TH ST, SAN PEDRO, CA 90732-3514
(310) 514-5243
Mailing address
1367 W 20TH ST, SAN PEDRO, CA 90732-4407
(310) 832-4474
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
155559
CA
2471M2300X
Mammography Radiologic Technologist
41845
CA
2471S1302X
Sonography Radiologic Technologist
Primary
17109
CA
Other
Enumeration date
10/11/2007
Last updated
10/27/2007
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