Individual
JANINE MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T.(R)(CT)
Contact information
Practice address
649 S 620 E, HEBER CITY, UT 84032-3873
(801) 598-4960
Mailing address
649 S 620 E, HEBER CITY, UT 84032-3873
(801) 598-4960
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
115610-5401
UT
2471C3401X
Computed Tomography Radiologic Technologist
Primary
115610-5401
UT
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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