Individual provider · NPI-1

Asha Patton

Radiologic Technologist, Radiation Therapy · Detroit, MI

NPI number1285357178
StatusActive
Last updated in NPPESSep 26, 2022

Details

NPI
1285357178
Entity type
Individual (NPI-1)
Name
Asha Patton
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2022
Certification date
Sep 25, 2022
Last updated
Sep 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471R0002X Radiologic Technologist, Radiation Therapy––Yes

Practice location

2458 Van Dyke St
Detroit, MI 48214-1827

Phone 248-636-3692

Mailing address

2458 Van Dyke St
Detroit, MI 48214-1827

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