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Individual

JOSEPH LEONARDO MARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RT (R) (MRI)

Contact information

Practice address
FITZSIMMONS DR BLDG 9040, TACOMA, WA 98431-0001
(253) 968-0715
Mailing address
8546 FORTMAN DR NE, LACEY, WA 98516-6297
(360) 489-1146

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
421328
2471C3401X
Computed Tomography Radiologic Technologist
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
421328

Other

Enumeration date
05/22/2010
Last updated
05/22/2010
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