Doctor Name: | ADRIANE MICHELE MALONE |
NPI Number: | 1487945614 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARRT (M), CRT (M) |
License Number: | 148207/40743 |
Business Practice Address: | 18945 Fm 2252 Suite 115 Garden Ridge, TX - 782662562 |
Business Phone Number: | 8665956379 |
Business Fax Number: | |
Mailing Address: | 3240 Tongass Blvd, Apt. 1-a JUNEAU |
State: | AK |
Postal Code: | 998019022 |
Phone Number: | 9075008191 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2011 |
NPI Last Update Date: | 04/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471M2300X |
License Number: | 148207/40743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Mammography |
Taxonomy Definition: |