GUSTAVO SAMUEL ZAMBRANO
Individual Provider (NPI-1)
Active
Radiologic Technologist, Magnetic Resonance Imaging
Provider Information
- NPI Number
1801567698- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4410 N PEARLINE ST, MAIZE, KS, 671019020
- Phone
- (305) 910-7062
Specialties & Taxonomies
Radiologic Technologist
License: FL #465406
Radiologic Technologist, Nuclear Medicine Technology
License: FL #032575
Radiologic Technologist, Magnetic Resonance Imaging
Primary License: FL #CRT69752