Organization
ROSE MAESTAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE MAESTAS (OWNER)
(661) 805-0701
Entity
Organization
Contact information
Practice address
1527 19TH ST STE 402, BAKERSFIELD, CA 93301-4440
(661) 805-0701
Mailing address
1527 19TH ST STE 402, BAKERSFIELD, CA 93301-4440
(661) 805-0701
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
0570058
CA
2471V0105X
Vascular Sonography Radiologic Technologist
0570058
CA
Other
Enumeration date
12/01/2009
Last updated
12/13/2010
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