Doctor Name: | MS. MAYBELLE HOLIDAY-DESCHENY |
NPI Number: | 1477649523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARRT RT |
License Number: | 183510R |
Business Practice Address: | 318 Abalone Loop Mescalero Indian Hospital Mescalero, NM - 883400210 |
Business Phone Number: | 5054044441 |
Business Fax Number: | 5054644422 |
Mailing Address: | Po Box 62, 2008 2 Red 420 Mescal Loop MESCALERO |
State: | NM |
Postal Code: | 883400062 |
Phone Number: | 5054644441 |
Fax Number: | 5054644422 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 183510R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |