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Individual

MR. SEAN SHICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SONOGRAPHER

Contact information

Practice address
2740 S BRISTOL ST STE 208, SANTA ANA, CA 92704-6233
(714) 979-5781
(714) 979-5781
Mailing address
2740 S BRISTOL ST STE 208, SANTA ANA, CA 92704-6233
(714) 979-5781
(714) 979-5781

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
29165
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29165
SONOGRAPHER LICENSE
CA
Enumeration date
09/25/2006
Last updated
07/08/2007
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