Individual
JAIMINI SAMIR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARDMS
Contact information
Practice address
780 BERRYESSA ST, LIVERMORE, CA 94551-8891
(510) 676-9423
Mailing address
780 BERRYESSA ST, LIVERMORE, CA 94551-8891
(510) 676-9423
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
179963
CA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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