Organization
MOMMIEANDME3D4D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADELL N CATER RDMS, RVT (DIAGNOSTIC MEDICAL SONOGRAPHER)
(213) 359-8993
Entity
Organization
Contact information
Practice address
2733 FLORA LEE DR S, NESBIT, MS 38651-7008
(213) 359-8993
Mailing address
2733 FLORA LEE DR S, NESBIT, MS 38651-7008
(213) 359-8993
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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