Individual
LATANYA MARVEL BEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
263 W ALMY AVE, FRESNO, CA 93706-5603
(559) 721-8746
Mailing address
263 W ALMY AVE, FRESNO, CA 93706-5603
(559) 721-8746
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
RHM00078473
CA
2471M2300X
Mammography Radiologic Technologist
RHM00078473
CA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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