Individual
DUSTIN ALLAN SAMBLANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT ( R)(CT)(BD)
Contact information
Practice address
5372 OAKRIDGE DR, LOUISVILLE, OH 44641-8828
(330) 575-3424
Mailing address
5372 OAKRIDGE DR, LOUISVILLE, OH 44641-8828
(330) 575-3424
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
525400
OH
2471C3402X
Radiography Radiologic Technologist
525400
OH
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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