Louise Anna Marie Shellenbarger
Radiologic Technologist, Computed Tomography in Gainesville, FL. Individual provider (NPI-1).
NPI number1710601331
StatusActive
Last updated in NPPESSep 27, 2022
Details
- NPI
- 1710601331
- Entity type
- Individual (NPI-1)
- Name
- Louise Anna Marie Shellenbarger
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2022
- Certification date
- Sep 27, 2022
- Last updated
- Sep 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3401X | Radiologic Technologist, Computed Tomography | 380075 | – | Yes |
Practice location
1601 Sw Archer RdGainesville, FL 32608-1135
Phone 352-376-1611
Mailing address
3237 Nw 25th AveGainesville, FL 32605-2759
Phone 352-235-2322
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