Individual
MS. CAROL PERISHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045
(928) 283-2646
Mailing address
167 N MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2646
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
5729
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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