Individual
MRS. BREE DANILLE HYSJULIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSRT(R)(M)
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
RT00005413
WA
2471M2300X
Mammography Radiologic Technologist
Primary
RHM 83688
CA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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