Individual
LEAH CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
145 HILDEN RD STE 113, PONTE VEDRA, FL 32081-8401
(904) 465-9062
Mailing address
145 HILDEN RD STE 113, PONTE VEDRA, FL 32081-8401
(904) 465-9062
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
134780
FL
Other
Enumeration date
02/01/2016
Last updated
08/12/2016
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