Organization
ANTIQUITES ET MEDECINE, INC.
Active
Other names
Citrus Empire Positron Emission Tomography Mobile Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA LOSCUTOFF (SECRETARY/TREASURER)
(951) 204-3759
Entity
Organization
Contact information
Practice address
399 E 21ST ST, SAN BERNARDINO, CA 92404-4815
(909) 882-2266
Mailing address
11420 ETON LN, STE. A, RIVERSIDE, CA 92507-6619
(951) 204-3759
(951) 787-8315
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
NMTCB 004954
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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