Organization
PRECIOUS MOMENTS 3D - 4D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA MARIA GUTIERREZ RDMS (OWNER)
(863) 529-7448
Entity
Organization
Contact information
Practice address
5336 US HIGHWAY 98 N, LAKELAND, FL 33809-0517
(863) 816-3870
(863) 434-7586
Mailing address
5336 US HIGHWAY 98 N, LAKELAND, FL 33809-0517
(863) 816-3870
(863) 434-7586
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
02/07/2019
Last updated
06/17/2019
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