Individual provider · NPI-1
Rebeka Gevorgyan
Radiologic Technologist · Fresno, CA
NPI number1013393404
StatusActive
Last updated in NPPESAug 7, 2015
Details
- NPI
- 1013393404
- Entity type
- Individual (NPI-1)
- Name
- Rebeka Gevorgyan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2015
- Last updated
- Aug 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | – | – | Yes |
Practice location
5544 W Palo Alto AveFresno, CA 93722-3013
Phone 559-917-7212
Mailing address
5544 W Palo Alto AveFresno, CA 93722-3013
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