Organization
OLIVE BRANCH DIAGNOSTIC IMAGING, INC
Active
Other names
Olive Branch Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA STOKES RDMS (OWNER)
(909) 332-3334
Entity
Organization
Contact information
Practice address
10722 ARROW RTE, SUITE 520, RANCHO CUCAMONGA, CA 91730-4808
(909) 332-3334
(909) 233-3925
Mailing address
10808 FOOTHILL BLVD, SUITE 160-602, RANCHO CUCAMONGA, CA 91730-3889
(909) 332-3334
(909) 233-3925
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
118133
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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