Individual
MR. HAROLD DIEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.(R)(ARRT), RPA
Contact information
Practice address
800 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4006
(909) 450-0640
Mailing address
1505 MOHAVE DR, COLTON, CA 92324-4813
(909) 532-4019
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
21CA0919
CA
2471C3402X
Radiography Radiologic Technologist
574424
CA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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