Individual
MRS. GWENDOLYN MARIE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
13000 N BRUCE B DOWNS AVE, TAMPA, FL 33612
(813) 972-2000
Mailing address
1049 WINDSOR WAY, LUTZ, FL 33559-6738
(813) 948-0850
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
322240
FL
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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