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Individual

DANIEL M NAMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RT, HCA

Contact information

Practice address
400 E UNIVERSITY WAY, ELLENSBURG, WA 98926-7502
(509) 963-1881
(509) 963-1886
Mailing address
400 E UNIVERSITY WAY, ELLENSBURG, WA 98926-7502
(509) 963-1881
(509) 963-1886

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
PC60347734
WA
247100000X
Radiologic Technologist
Primary
XT60353146
WA

Other

Enumeration date
12/09/2014
Last updated
12/11/2014
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