Doctor Name: | MRS. DONNA SMITH LEET |
NPI Number: | 1245479583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RT (R) |
License Number: | 14012 |
Business Practice Address: | 1 Indian Hill Road Winterhaven, CA - 92283 |
Business Phone Number: | 7605724100 |
Business Fax Number: | 7605722133 |
Mailing Address: | Po Box 1368, YUMA |
State: | AZ |
Postal Code: | 853661368 |
Phone Number: | 7605724100 |
Fax Number: | 7605722133 |
NPI Enumeration Date: | 02/10/2009 |
NPI Last Update Date: | 02/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | 14012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |