Individual
MONICA MANYGOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T. (R)
Contact information
Practice address
167 N MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2702
Mailing address
167 N MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2702
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT12643
AZ
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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