Individual
MS. MARY FRANCIS WOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T. (R)
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 742-3775
(605) 698-3607
Mailing address
100 LAKE TRAVERSE DR, PO BOX 189, SISSETON, SD 57262-7046
(605) 742-3775
(605) 698-3607
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
106230
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106230
AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT)
—
05
—
430085
—
SD
Enumeration date
06/02/2008
Last updated
06/03/2008
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