Individual provider · NPI-1
Latanya Marvel Beamon, CRT
Radiologic Technologist, Radiography · Fresno, CA
NPI number1790377299
StatusActive
Last updated in NPPESFeb 5, 2021
Details
- NPI
- 1790377299
- Entity type
- Individual (NPI-1)
- Name
- Latanya Marvel Beamon
- Credential
- CRT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2021
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3402X | Radiologic Technologist, Radiography | RHM00078473 | CA | Yes |
| 2471M2300X | Radiologic Technologist, Mammography | RHM00078473 | CA |
Other names
- Latanya Marvel Brown (Former Name)
Practice location
263 W Almy AveFresno, CA 93706-5603
Phone 559-721-8746
Mailing address
263 W Almy AveFresno, CA 93706-5603
Phone 559-721-8746
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