Individual provider · NPI-1
Jessica Deyanira Izquierdo, rad tech
Radiologic Technologist, Computed Tomography · Sacramento, CA
NPI number1992210850
StatusActive
Last updated in NPPESDec 13, 2017
Details
- NPI
- 1992210850
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Deyanira Izquierdo
- Credential
- rad tech
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2017
- Last updated
- Dec 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3401X | Radiologic Technologist, Computed Tomography | RHF00087758 | CA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | RHF00087758 | CA |
Other names
- Jessica Deyanira Izquierdo (Former Name)
Practice location
8233 Scottsdale DrSacramento, CA 95828-4530
Phone 916-548-0230
Mailing address
8233 Scottsdale DrSacramento, CA 95828-4530
Phone 916-548-0230
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