Organization
SURGICAL IMAGING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE MARIE SHEMARIA (DIRECTOR OF OPERATIONS)
(707) 207-0899
Entity
Organization
Contact information
Practice address
782 DYNASTY DR, FAIRFIELD, CA 94534-6612
(707) 207-0899
(707) 207-0898
Mailing address
782 DYNASTY DR, FAIRFIELD, CA 94534-6612
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
RHF64899
CA
Other
Enumeration date
11/04/2006
Last updated
08/22/2020
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