Ranae Davison, RDMS
Radiologic Technologist, Sonography in Boise, ID. Individual provider (NPI-1).
NPI number1780968313
StatusActive
Last updated in NPPESSep 30, 2011
Details
- NPI
- 1780968313
- Entity type
- Individual (NPI-1)
- Name
- Ranae Davison
- Credential
- RDMS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2011
- Last updated
- Sep 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471S1302X | Radiologic Technologist, Sonography | 92611 | ID | Yes |
Practice location
1515 Newport StBoise, ID 83709-3008
Phone 208-539-9924
Mailing address
1515 Newport StBoise, ID 83709-3008
Phone 208-539-9924
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