Johnette B. Wilson III, R.T.
Radiologic Technologist in Oakland, CA. Individual provider (NPI-1).
NPI number1285898809
StatusActive
Last updated in NPPESJul 13, 2008
Details
- NPI
- 1285898809
- Entity type
- Individual (NPI-1)
- Name
- Johnette B. Wilson III
- Credential
- R.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2008
- Last updated
- Jul 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | 44981 | CA | Yes |
| 247100000X | Radiologic Technologist | 176908 | CA |
Practice location
2923 75th AveOakland, CA 94605-2903
Phone 415-571-0542
Mailing address
2923 75th AvePo Box 5056
Oakland, CA 94605-2903
Phone 415-571-0542
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